Organization Active NPI

Hamilton Mill Center for Oral & Maxillofacial Surgery, LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Dacula, GA
National Provider Identifier
1174427629
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
HAMILTON MILL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC
Practice address
3619 Braselton Highway
Suite 101
Dacula, GA 30019
Phone
(770) 831-6602
Fax
(770) 831-6608
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Mr. Asif Taufiq, DDS
Title
Owner
Phone
(770) 831-6602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU Primary

Addresses

Primary practice location

3619 Braselton Highway
Suite 101
Dacula, GA 30019

Mailing address

3619 Braselton Highway
Suite 101
Dacula, GA 30019
Phone (770) 831-6602

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1174427629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 BRASELTON HIGHWAY",
            "address_2": "SUITE 101",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "770-831-6602",
            "fax_number": "770-831-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 BRASELTON HIGHWAY",
            "address_2": "SUITE 101",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "770-831-6602",
            "fax_number": "770-831-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MILL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "TAUFIQ",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-831-6602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.