Cornerstone Dentsitry; PC

Primary specialty

DentistTaxonomy code 122300000X

License

DN013829 Issued in GA

Legal business name

CORNERSTONE DENTSITRY; PC

Practice address

2463 Hamilton Mill Pkwy
240
Dacula, GA 30019-4648

Phone

(770) 932-6510

NPI assigned

Dec 17, 2010

Last updated

Dec 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward D McDonald, DDSNPI 1285871012

Title

President/Ceo

Phone

(770) 932-6510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Edward D'Witt McDonald, D.D.S.

  • Dentist
  • Dacula, GA
  • NPI 1285871012
  NPD (past) Authorized official

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1558664227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY",
            "address_2": "240",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194648",
            "telephone_number": "770-932-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY",
            "address_2": "240",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194648",
            "telephone_number": "770-932-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTSITRY; PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-932-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847469223C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cornerstone Family Practice, P.C.
• Cornerstone Pediatrics LLC
• Covenant Family Medicine
• Covenant Family Medicine GMG LLC
• Darrcelle S Covert

• Dentist in Dacula, GA
• Providers in Dacula, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.