| Canton Endodontics,llc | |
|
170 River Green Ave Ste 102 Canton GA 30114-4685 | |
| (943) 400-2911 | |
| (943) 400-2880 |
| Full Name | Canton Endodontics,llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 170 River Green Ave Ste 102, Canton, Georgia |
| Authorized Official Name and Position | Iliana Moronta (OFFICE LEAD) |
| Authorized Official Contact | 9434002911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Endodontics,llc 170 River Green Ave Ste 102 Canton GA 30114-4685 Ph: (943) 400-2911 | Canton Endodontics,llc 170 River Green Ave Ste 102 Canton GA 30114-4685 Ph: (943) 400-2911 |
| NPI Number | 1477412906 |
|---|---|
| Provider Enumeration Date | 01/20/2026 |
| Last Update Date | 01/20/2026 |
| Certification Date | 01/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477412906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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Greg Elwell, D.M.D., P.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Waleska St, Canton, GA 30114 Phone: 770-479-5569 Fax: 770-479-3492 |