Active NPI
Parkside Dental Practice Partners, P.C.
- General Practice Dentistry
- Peachtree City, GA
National Provider Identifier
1295688950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PARKSIDE DENTAL PRACTICE PARTNERS, P.C.
- Practice address
- 410 Stevens Entry
Peachtree City, GA 30269-4050 - Phone
- (770) 487-8882
- NPI assigned
- Feb 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ben Cutler
- Title
- Chro
- Phone
- (607) 743-9474
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | |||
| Periodontics | 1223P0300X |
Addresses
Primary practice location
410 Stevens Entry
Peachtree City, GA 30269-4050
Mailing address
410 Stevens Entry
Peachtree City, GA 30269-4050
National Provider Directory
National Provider Directory- Tax ID family
- Parkside Dental Practice Partners PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Peachtree City, GA
- NPI 1588485940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771545600000",
"number": "1295688950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 STEVENS ENTRY",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 STEVENS ENTRY",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694050",
"telephone_number": "770-487-8882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKSIDE DENTAL PRACTICE PARTNERS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A",
"authorized_official_last_name": "CUTLER",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "CHRO",
"authorized_official_telephone_number": "607-743-9474"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.