Coosa Dental Associates, LLC
Organization Active NPI General Practice Dentistry · Cedartown, GA
NPI 1326258351 · NPPES record last updated Nov 19, 2007
Key facts
- NPI
- 1326258351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN010447 (GA)
- Legal business name
- COOSA DENTAL ASSOCIATES, LLC
- Practice address
- 109 East Ave
Cedartown, GA 30125-2921 - Phone
- (770) 748-7736
- Fax
- (770) 748-4015
- NPI assigned
- May 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. David Bradford Gandy, D.D.S
- Title
- Dentist
- Phone
- (770) 748-7736
Practitioners 3
-
Nhi Joy Ho, D.M.D
-
Thomas Edward Shaw III, D.D.S.
-
Hope H Still, DDS
National Provider Directory
Locations
109 East Ave
Cedartown, GA 30125
Phone (770) 748-7736
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN010447 | GA | Yes |
Addresses
Primary practice location
109 East Ave
Cedartown, GA 30125-2921
Mailing address
109 East Ave
Cedartown, GA 30125-2921
Phone (770) 748-7736
Other providers in Cedartown, GA
- Columbia Polk General Hospital, Inc.
- Columbia Polk General Hospital, Inc.
- Communication at Heart, LLC
- Melissa Conrad
- Krista Cooper
- Coosa Dental Sleep Therapy LLC
- Julaine B Cross
- Sharon Crowder
- Katheleen Crump
- Angela Davis
All providers in Cedartown, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.