Organization
C S DENTAL
Active
Other names
Downtown Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY G CARTER D.D.S (DR/ OWNER)
(404) 577-0868
Entity
Organization
Contact information
Practice address
75 MARIETTA ST NW, SUITE 100, ATLANTA, GA 30303-2883
(404) 577-0868
Mailing address
75 MARIETTA ST NW, SUITE 100, ATLANTA, GA 30303-2883
(404) 577-0868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
011430
GA
1223G0001X
General Practice Dentistry
Primary
012993
GA
1223G0001X
General Practice Dentistry
GA11169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003030941
—
GA
05
—
1174741953
—
GA
05
—
1720169451
—
GA
Enumeration date
05/09/2008
Last updated
05/09/2008
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