CCSD-Hamilton Mill,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CCSD-HAMILTON MILL,LLC

Practice address

2725 Hamilton Mill Rd Ste 700
Buford, GA 30519-6010

Phone

(770) 932-8577

Fax

(770) 932-3277

NPI assigned

Dec 16, 2018

Organization subpart

Yes

Parent organization

THE CENTER FOR COSMETIC AND SEDATION DENTISTRY, LLCAs reported in NPPES

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

Authorized official

Name

Noordin K Nurani, DMD

Title

Owner

Phone

(770) 932-8577

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Center for Cosmetic and Sedation Dentistry

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1487863429
  NPPES parent name

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1790256758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 HAMILTON MILL RD STE 700",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196010",
            "telephone_number": "770-932-8577",
            "fax_number": "770-932-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 HAMILTON MILL RD STE 700",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196010",
            "telephone_number": "770-932-8577",
            "fax_number": "770-932-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCSD-HAMILTON MILL,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CENTER FOR COSMETIC AND SEDATION DENTISTRY, LLC",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "NURANI",
        "authorized_official_first_name": "NOORDIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-932-8577",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Casey, MS, NCC
• Roxanna Caspar
• Kerryn Castellon, DO
• Tasha L Casto, FNP
• Amy C. Cates, D.M.D.
• Caroline Ceneviz, DDS
• Centennial Joint Care Inc
• Manuel John Chaknis
• Arvind Chandilya Chakravarthy, M.D.
• D'Amber Nicole Chambers, PA-C

• Dental Clinic/Center in Buford, GA
• Providers in Buford, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.