# CUMMING DENTAL ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpharetta Family & Specialty Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386193662
- **Authorized official:** KEVIN SHORT DDS (OWNER)
- **Authorized official phone:** (770) 781-8650

## Contact information

- **Practice address:** 12385 CRABAPPLE RD, SUITE 101, ALPHARETTA, GA 30004-6357
- **Practice address phone:** (770) 781-8650
- **Mailing address:** 12385 CRABAPPLE RD, SUITE 101, ALPHARETTA, GA 30004-6357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN011242 | GA | — |
| 122300000X | Dentist | DN015174 | GA | Yes |

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 09/29/2016