NPIMap

Organization Active NPI

Sugarloaf Crossing Dental Center LLC

  • Point of Service
  • Lawrenceville, GA
National Provider Identifier
1629128988
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
SUGARLOAF CROSSING DENTAL CENTER LLC
Practice address
4850 Sugarloaf Pkwy
Suite 204
Lawrenceville, GA 30044-2859
Phone
(770) 995-6109
Fax
(770) 995-6128
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Andrew Litton
Title
Vice President
Phone
(678) 879-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

4850 Sugarloaf Pkwy
Suite 204
Lawrenceville, GA 30044-2859

Mailing address

4850 Sugarloaf Pkwy
Suite 204
Lawrenceville, GA 30044-2859
Phone (770) 995-6109

National Provider Directory

National Provider Directory

Locations

4850 Sugarloaf Pkwy
Ste 204
Lawrenceville, GA 30044
Phone (770) 995-6109

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629128988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442859",
            "telephone_number": "770-995-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SUGARLOAF PKWY",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442859",
            "telephone_number": "770-995-6109",
            "fax_number": "770-995-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLOAF CROSSING DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "678-879-1177"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.