Sunil Mittal, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014837 Issued in GA

Practice address

600 Garnett St
Ste 3
Buford, GA 30518-3200

Phone

(678) 546-1500

NPI assigned

May 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buford Family Dental Care, LLC

  • General Practice Dentistry
  • Buford, GA
  • NPI 1932603669
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1992930960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GARNETT ST",
            "address_2": "STE 3",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183200",
            "telephone_number": "678-546-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GARNETT ST",
            "address_2": "STE 3",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183200",
            "telephone_number": "678-546-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "SUNIL",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mimi Ellis Nutrition and Health Coaching, LLC
• Jacob Matthew Minor, D.C.
• Rosalyn Selena Minton, LICENSED PHARMACIST
• Jennifer A.R. Mitchell, M.S. SLP
• Zakkiyyah Kai Mitchell
• Mobility AIDS, Inc.
• Modern Eyes of Georgia, LLC
• Rachel Elena Moeser, DC
• Rima G Momin, PA-C
• Natalia Montalvo Ayala, M.S. CCC-SLP

• General Practice Dentistry in Buford, GA
• Providers in Buford, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.