Organization Active NPI

Sugar Hill Smiles, Inc.

  • General Practice Dentistry
  • Sugar Hill, GA
National Provider Identifier
1073794632
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013591 Issued in GA
Legal business name
SUGAR HILL SMILES, INC.
Practice address
4901 Alton Tucker Blvd
Sugar Hill, GA 30518-5926
Phone
(770) 932-0992
NPI assigned
Nov 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Dr. Bridgett Lynn Jorgensen, DMDNPI 1306849195
Title
President
Phone
(770) 932-0992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN013591 GA Primary

Addresses

Primary practice location

4901 Alton Tucker Blvd
Sugar Hill, GA 30518-5926

Mailing address

4901 Alton Tucker Blvd
Sugar Hill, GA 30518-5926
Phone (770) 932-0992

National Provider Directory

National Provider Directory

Locations

4901 Alton Tucker Blvd
Sugar Hill, GA 30518
Phone (770) 932-0992

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1073794632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 ALTON TUCKER BLVD",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185926",
            "telephone_number": "770-932-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 ALTON TUCKER BLVD",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305185926",
            "telephone_number": "770-932-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR HILL SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-932-0992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.