Foundation Dental Partners Georgia, P.c.

NPI #1780221457 in Woodstock, Georgia

Provider Information

NPI Number: 1780221457
Entity Type: Organization
Organization Name: Foundation Dental Partners Georgia, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 2, 2019
Last Updated: May 12, 2022

Practice Location

Address: 1816 EAGLE DR STE 200-A
City: Woodstock
State: Georgia
ZIP Code: 30189-8274
Phone: (770) 238-1437

Authorized Official

Name: BEN CUTLER
Title: VP OF INTEGRATIONS
Phone: (607) 743-9474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - General Practice — General Practice	1223G0001X	Primary

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