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General NPI Number Information
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NPI Number | 1619609740
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Entity Type | Individual
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Provider Name | BENJAMIN HUNTER CROSS DMD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1317 MILSTEAD AVE NE
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City | CONYERS
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State | GA
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Zip | 30012-3829
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Country | US
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Telephone | 770-760-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 608 RALPH MCGILL BLVD NE UNIT 125
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City | ATLANTA
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State | GA
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Zip | 30312-1336
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Country | US
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Telephone | 229-848-1879
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN122744
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License Number State | GA
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