# COOLEY STATION KIDS DENTIST AND ORTHODONTICS, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cooley Station Dental Group, TOWNE CENTER DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508959263
- **Authorized official:** DR. CODY CUTLER DDS (OWNER)
- **Authorized official phone:** (480) 840-3600

## Contact information

- **Practice address:** 4049 E WILLIAMS FIELD RD STE 109, GILBERT, AZ 85295-3217
- **Practice address phone:** (480) 840-3600
- **Practice address fax:** (480) 840-3200
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/25/2022