Organization
LEGACY FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN CUTLER (SECRETARY)
(607) 743-9474
Entity
Organization
Contact information
Practice address
224 SHALLOWFORD RD NW, GAINESVILLE, GA 30504-4171
(770) 536-1170
Mailing address
224 SHALLOWFORD RD NW, GAINESVILLE, GA 30504-4171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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