Atlanta West Periodontics and Dental Implants PC
Organization Active NPI Dentist · Lithia Springs, GA
NPI 1700977360 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1700977360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 10752 (GA)
- Legal business name
- ATLANTA WEST PERIODONTICS AND DENTAL IMPLANTS PC
- Practice address
- 2168 Skyview Drive
Lithia Springs, GA 30122 - Phone
- (770) 739-5097
- Fax
- (770) 739-0517
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Cheryl Lynn Cushman, DDS
- Title
- Owner Ceo
- Phone
- (770) 739-5097
Practitioners 2
-
Cheryl Lynn Cushman, DDS
-
Phuong Thao Tran Nguyen, DDS, MSD
National Provider Directory
Locations
2168 Skyview Dr
Lithia Springs, GA 30122
Phone (770) 739-5097
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 10752 | GA | Yes |
| Dentist |
122300000X | 2901016263 | MI |
Addresses
Primary practice location
2168 Skyview Drive
Lithia Springs, GA 30122
Mailing address
2168 Skyview Drive
Lithia Springs, GA 30122
Phone (770) 739-5097
Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.