Organization
CS DENTAL ASSOCIATES, P.C.
Active
Other names
Colony Square Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CUTLER (SECRETARY)
(404) 482-2550
Entity
Organization
Contact information
Practice address
1175 PEACHTREE ST NE STE 1210, ATLANTA, GA 30361-3544
(404) 874-6464
Mailing address
1175 PEACHTREE ST NE STE 1210, ATLANTA, GA 30361-3544
(404) 482-2550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
01/19/2021
Last updated
05/12/2022
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