Premier Endodontics, LLC
Dentist, Endodontics in Alpharetta, GA. Organization (NPI-2).
NPI number1902761968
StatusActive
Last updated in NPPESDec 22, 2025
Details
- NPI
- 1902761968
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Endodontics, LLC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2025
- Certification date
- Dec 21, 2025
- Last updated
- Dec 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | – | Yes |
Practice location
4895 Windward Pkwy Ste 202Alpharetta, GA 30004-3850
Phone 770-291-0700 · Fax 770-470-6594
Mailing address
4895 Windward Pkwy Ste 202Alpharetta, GA 30004-3850
Phone 770-291-0700 · Fax 770-470-6594
Authorized official
Lara Bachour
Endodontist
6144407317
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