Hamilton Mill Oral and Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN013477 Issued in GA

Legal business name

HAMILTON MILL ORAL AND FACIAL SURGERY, LLC

Practice address

4285 Jim Moore Rd
BLDG 100, Suite 104
Dacula, GA 30019-1609

Phone

(678) 835-1135

Fax

(678) 835-1136

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Yadira Cardona-Rohena, DMDNPI 1790834083

Title

Owner and Doctor

Phone

(678) 835-1135

Specialties & licenses 1

Addresses

Other names 1

• Yadira Cardona-Rohena, DMD Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yadira Cardona-Rohena, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dacula, GA
  • NPI 1790834083
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593216000000",
    "number": "1437412889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 JIM MOORE RD",
            "address_2": "BLDG 100, SUITE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191609",
            "telephone_number": "678-835-1135",
            "fax_number": "678-835-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 JIM MOORE RD",
            "address_2": "BLDG 100, SUITE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191609",
            "telephone_number": "678-835-1135",
            "fax_number": "678-835-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MILL ORAL AND FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A",
        "authorized_official_last_name": "CARDONA-ROHENA",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER AND DOCTOR",
        "authorized_official_telephone_number": "678-835-1135",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN013477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yadira Cardona-Rohena, DMD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Yadira Cardona-Rohena, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hamilton Mill Medical & Physical Therapy
• Hamilton Mill Medical Services, Inc.
• Steven Robert Hammond, N.P.
• Andrei Hanceri
• Margaret Ndidi Hanney, CNA
• Harbins Dental Associates, LLC
• Harbins Healthcare Inc

• Oral and Maxillofacial Surgery (Dentist) in Dacula, GA
• Providers in Dacula, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.