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Organization

JOHNS CREEK DENTISTRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEN CUTLER (SECRETARY)
(404) 482-2550
Entity
Organization

Contact information

Practice address
9590 MEDLOCK BRIDGE RD STE B, JOHNS CREEK, GA 30097-5990
(770) 709-1066
Mailing address
296 S MAIN ST STE 300, ALPHARETTA, GA 30009-1973

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223P0300X
Periodontics

Other

Enumeration date
10/12/2021
Last updated
05/12/2022
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