Cumming Dental Associates

LBN: Cumming Dental Associates
Cumming Dental Associates is an health care organization with primary practice located at 1200 Bald Ridge Marina Rd Suite 200, Cumming GA 30041-8494. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Cumming Dental Associates can be contacted via phone (770) 781-8650, or through Short, Kevin via phone (770) 781-8650.

Contact Information

Primary practice address
1200 Bald Ridge Marina Rd Suite 200 Cumming GA 30041-8494
Fax: (770) 781-2953
Website:
Authorized official contact:
Name: Short, Kevin Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN014775 Georgia
Dental Providers / Dentist 122300000X DN015174 Georgia
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X DN011242 Georgia
Dental Providers / General Practice 1223G0001X DN012306 Georgia
Dental Providers / General Practice 1223G0001X DN011760 Georgia
Dental Providers / General Practice 1223G0001X DN012514 Georgia
Dental Providers / General Practice 1223G0001X DN015212 Georgia
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN011424 Georgia

Profile Details

NPI number 1255464384
LBN Legal business name Cumming Dental Associates
DBA Doing business as
Authorized official Short, Kevin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Mar 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255464384 NPPES
Georgia Other 825012 UNITED CONCORDIA
Georgia Other 4080537 UNITED CONCORDIA

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