Active NPI
Sugar Hill Family and Cosmetic Dentistry
- Dentist
- Sugar Hill, GA
National Provider Identifier
1609334549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SUGAR HILL FAMILY AND COSMETIC DENTISTRY
- Practice address
- 5885 Cumming Hwy Ste 104
Sugar Hill, GA 30518-5687 - Phone
- (678) 765-8650
- NPI assigned
- Mar 11, 2019
- Last updated
- Mar 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Landa Butler
- Title
- Front Office Admin
- Phone
- (678) 765-8650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
5885 Cumming Hwy Ste 104
Sugar Hill, GA 30518-5687
Mailing address
5885 Cumming Hwy Ste 104
Sugar Hill, GA 30518-5687
Phone (678) 765-8650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321456 | Other | CODE |
National Provider Directory
National Provider DirectoryLocations
5885 Cumming Hwy
Ste 104
Sugar Hill, GA 30518
Phone (678) 765-8650
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.
-
- Dentist
- Flowery Branch, GA
- NPI 1124746508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552262400000",
"number": "1609334549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5885 CUMMING HWY STE 104",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305185687",
"telephone_number": "678-765-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 CUMMING HWY STE 104",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305185687",
"telephone_number": "678-765-8650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUGAR HILL FAMILY AND COSMETIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "LANDA",
"authorized_official_title_or_position": "FRONT OFFICE ADMIN",
"authorized_official_telephone_number": "678-765-8650"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CODE",
"identifier": "321456",
"state": null
}
],
"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 Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.