Foothills Dental, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOOTHILLS DENTAL, P.C.

Doing business as

Foothills Dental Associates

Practice address

25 Foothills Pkwy Ste 101
Marble Hill, GA 30148-2263

Phone

(770) 893-2340

NPI assigned

Aug 17, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ben Cutler

Title

Secretary

Phone

(607) 743-9474

Specialties & licenses 5

Addresses

Other names 1

• Foothills Dental Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Wells, DDS

  • General Practice Dentistry
  • Marble Hill, GA
  • NPI 1205951167
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1942976386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 S MAIN ST STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY STE 101",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482263",
            "telephone_number": "770-893-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "SECRETARY",
        "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": [
        {
            "organization_name": "Foothills Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foothills Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cognova Consulting Inc (Cognova Counseling Associates)
• Crescent Services II LLC (Jasper Drug Store at Foothills)
• Mark Debrincat
• Joellen L Dreyfus, D.C.
• Foothills Chiropractic
• Foothills Management LLC (Foothills Chiropractic)
• Independent Physical Therapy of Ga, LLC (BenchMark Physical Therapy)
• Jasper Drug Store at Foothills
• Ravi Karan, D.C.
• Marie L. Loscavio, ED.D.

• General Practice Dentistry in Marble Hill, GA
• Providers in Marble Hill, GA by specialty
• General Practice Dentistry in Georgia

• 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.

Verify at the official NPI Registry.