Firas Yosif, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015091 Issued in GA

Practice address

335 Dacula Rd Ste 100
Dacula, GA 30019-2294

Phone

(770) 277-0800

NPI assigned

Sep 30, 2013

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CCSD-Dacula, LLC

  dba Center for Cosmetic and Sedation Dentistry, LLC

  • Dental Clinic/Center
  • Dacula, GA
  • NPI 1932754223
  NPD (past)
• Center for Cosmetic and Sedation Dentistry

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1487863429
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1093142432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 DACULA RD STE 100",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192294",
            "telephone_number": "678-365-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 DACULA RD STE 100",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192294",
            "telephone_number": "770-277-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSIF",
        "first_name": "FIRAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015091",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039750",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Michele Wyrwa, PTA
• Y W B Case Management LLC
• Gau Soua Angelia Yang, PHARMD
• Eunice Mihyun Yi, O.D.
• Tahlee Sylvia Yichye, SLP
• Morgan B Young, SLP
• Nichelle Marie Young, DENTAL ASSISTANT
• Your Surgical First Assistant
• Jessie Yuan
• Inchol Yun

• General Practice Dentistry in Dacula, GA
• Providers in Dacula, 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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.