Organization
CUMMING DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MONELL (BUSINESS ADMINISTRATOR)
(770) 781-8650
Entity
Organization
Contact information
Practice address
7185 COLFAX AVE., CUMMING, GA 30040
(770) 781-8650
Mailing address
PO BOX 599, CUMMING, GA 30028-0599
(770) 781-8650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011242
GA
1223G0001X
General Practice Dentistry
DN012306
GA
1223G0001X
General Practice Dentistry
DN014775
GA
1223G0001X
General Practice Dentistry
DN015174
GA
1223G0001X
General Practice Dentistry
DN015212
GA
1223G0001X
General Practice Dentistry
DN015214
GA
1223P0221X
Pediatric Dentistry
DN015146
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN011424
GA
Other
Enumeration date
11/30/2017
Last updated
01/05/2018
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