Active NPI
CS Dental Associates, P.C.
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1639769201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CS DENTAL ASSOCIATES, P.C.
- Practice address
- 1175 Peachtree St NE Ste 1210
Atlanta, GA 30361-3544 - Phone
- (404) 874-6464
- NPI assigned
- Jan 19, 2021
- 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
- Benjamin Cutler
- Title
- Secretary
- Phone
- (404) 482-2550
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Periodontics | 1223P0300X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
Addresses
Primary practice location
1175 Peachtree St NE Ste 1210
Atlanta, GA 30361-3544
Mailing address
1175 Peachtree St NE Ste 1210
Atlanta, GA 30361-3544
Phone (404) 482-2550
Other names 1
- Colony Square Dental Associates
National Provider Directory
National Provider DirectoryLocations
1175 Peachtree St NE
Ste 1210
Atlanta, GA 30361
Phone (248) 202-0134
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Atlanta, GA
- NPI 1245689728
-
- Dentist
- Atlanta, GA
- NPI 1184986036
-
- General Practice Dentistry
- Atlanta, GA
- NPI 1083880611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652313600000",
"number": "1639769201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 PEACHTREE ST NE STE 1210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303613544",
"telephone_number": "404-482-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 PEACHTREE ST NE STE 1210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303613544",
"telephone_number": "404-874-6464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CS DENTAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A",
"authorized_official_last_name": "CUTLER",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "404-482-2550"
},
"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": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colony Square Dental Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Colony Square Dental Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.