Organization
MIDTOWN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY G CARTER D.D.S (DR/OWNER)
(404) 874-0800
Entity
Organization
Contact information
Practice address
650 PONCE DE LEON AVE NE, SUITE 600 B, ATLANTA, GA 30308-1804
(404) 874-0800
Mailing address
650 PONCE DE LEON AVE NE, SUITE 600 B, ATLANTA, GA 30308-1804
(404) 874-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003030941
—
GA
05
—
1174741953
—
GA
05
—
1720169451
—
GA
Enumeration date
05/13/2008
Last updated
05/13/2008
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