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General NPI Number Information
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NPI Number | 1083597470
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Entity Type | Organization
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Legal Business Name | CUMBERLAND DENTAL CARE
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 124 ANDREWS WAY STE A
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City | SAINT MARYS
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State | GA
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Zip | 31558-1653
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Country | US
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Telephone | 912-882-4274
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Fax | 912-673-1311
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Provider Business Mailing Address
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Address Line | 124 ANDREWS WAY STE A
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City | SAINT MARYS
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State | GA
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Zip | 31558-1653
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Country | US
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Telephone | 128-824-2749
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Fax | 912-673-1311
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Authorized Official
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Title or Position | DENTIST
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Name | BENJAMIN H GREER
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Credential | DMD
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Telephone | 912-882-4274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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