Cs Dental Associates, P.C.
Dentist, General Practice in Atlanta, GA. Organization (NPI-2).
NPI number1639769201
StatusActive
Last updated in NPPESMay 12, 2022
Details
- NPI
- 1639769201
- Entity type
- Organization (NPI-2)
- Legal business name
- Cs Dental Associates, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 19, 2021
- Certification date
- May 12, 2022
- Last updated
- May 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 122300000X | Dentist | – | – | |
| 1223E0200X | Dentist, Endodontics | – | – | |
| 1223P0300X | Dentist, Periodontics | – | – | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – |
Other names
- Colony Square Dental Associates (Doing Business As)
Practice location
1175 Peachtree St Ne Ste 1210Atlanta, GA 30361-3544
Phone 404-874-6464
Mailing address
1175 Peachtree St Ne Ste 1210Atlanta, GA 30361-3544
Phone 404-482-2550
Authorized official
Benjamin Cutler
Secretary
4044822550
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