Organization Active NPI

Sweet Water Family Dentistry

  • Dentist
  • Lithia Springs, GA
National Provider Identifier
1720452832
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014163 Issued in GA
Legal business name
SWEET WATER FAMILY DENTISTRY
Practice address
1515 Westfork Dr
Suite a
Lithia Springs, GA 30122-1599
Phone
(770) 941-7261
Fax
(770) 941-2371
NPI assigned
Nov 30, 2015
Last updated
Dec 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Dr. Mohammad Usman Sajid, D.D.S.NPI 1033424379
Title
Owner
Phone
(678) 777-8887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014163 GA Primary

Addresses

Primary practice location

1515 Westfork Dr
Suite a
Lithia Springs, GA 30122-1599

Mailing address

1515 Westfork Dr
Suite a
Lithia Springs, GA 30122-1599
Phone (770) 941-7261

National Provider Directory

National Provider Directory

Locations

1515 Westfork Dr
Ste A
Lithia Springs, GA 30122
Phone (770) 941-7261

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.

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1720452832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 WESTFORK DR",
            "address_2": "SUITE A",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221599",
            "telephone_number": "770-941-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WESTFORK DR",
            "address_2": "SUITE A",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221599",
            "telephone_number": "770-941-7261",
            "fax_number": "770-941-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET WATER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "SAJID",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "USMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-777-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.