Organization
CUMMING DENTAL ASSOCIATES, PC
Active
Other names
Alpharetta Family & Specialty Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SHORT DDS (OWNER)
(770) 781-8650
Entity
Organization
Contact information
Practice address
12385 CRABAPPLE RD, SUITE 101, ALPHARETTA, GA 30004-6357
(770) 781-8650
Mailing address
12385 CRABAPPLE RD, SUITE 101, ALPHARETTA, GA 30004-6357
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN011242
GA
122300000X
Dentist
Primary
DN015174
GA
Other
Enumeration date
09/27/2016
Last updated
09/29/2016
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