SUGARLOAF CROSSING DENTAL CENTER LLC (NPI# 1629128988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629128988 |
| Entity Type | Organization |
| Organization Name | SUGARLOAF CROSSING DENTAL CENTER LLC |
| Practice Address |
4850 Sugarloaf Pkwy Suite 204 Lawrenceville GA 30044-2859 |
| Practice Telephone | 7709956109 |
| Practice Fax Number | 7709956128 |
| Mailing Telephone | 7709956109 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM ANDREW LITTON (VICE PRESIDENT) |
| Authorized Official Telephone | 6788791177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
4850 SUGARLOAF PKWY SUITE 204 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245271733 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2006-06-08 |
| 1891343059 | Linda Nguyen | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2019-08-30 |
| 1619453248 | Rahima Deka | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2018-07-17 |
| 1760835995 | Dina Keever | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2016-07-23 |
| 1649611955 | Barry Charles Campbell | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2013-07-15 |
| 1972841351 | James Herndon | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2013-01-20 |
| 1144567082 | Sheena Philip | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2013-01-11 |
| 1982754909 | Steven David Glasser | Dentist | 4850 Sugarloaf Pkwy, Suite 204, Lawrenceville, GA 30044-2859 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1245478908 | Young Business Solutions | Point of Service | 1830 Angus Lee Dr, Lawrenceville, GA 30045-2764 | 2009-02-03 |
| 1720139389 | Griffith, Spelios and Associates LLC | Point of Service | 2003 Riverside Pkwy, Suite 104, Lawrenceville, GA 30043-5939 | 2007-01-12 |
| 1649713785 | Marcia Mahoney | Point of Service | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-11-21 |
| 1477003283 | Lawrence County Health Department | Point of Service | 11362 Country Club Rd, Lawrenceville, IL 62439-4325 | 2016-10-05 |
| 1497021489 | Family Guidance LLC | Point of Service | 2775 Cruse Rd, Suite 1601, Lawrenceville, GA 30044-7140 | 2012-03-24 |
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|---|---|---|---|---|
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| 1558990911 | Telemedicine Essentials of America, LLC | Point of Service | 2001 Montreal Rd Ste 105, Tucker, GA 30084-5219 | 2020-04-06 |
| 1033745088 | Assure Elder Care Incorporated | Point of Service | 1047 Alford Rd, Lithonia, GA 30058-3007 | 2020-03-20 |
| 1437712122 | Wish You Well Youth Faith Foundation Inc | Point of Service | 9456 S Main St Ste D4, Jonesboro, GA 30236-6074 | 2019-04-17 |
| 1114412632 | Healthy Living Now Inc | Point of Service | 8174 Spring Ct, Riverdale, GA 30274-4317 | 2018-06-27 |
| 1629519202 | Nurse Practioner | Point of Service | 4044 George Busbee Pkwy Nw Apt 4207, Kennesaw, GA 30144-6890 | 2017-03-15 |
| 1033657143 | Glam She LLC | Point of Service | 4070 San Marco Way, Douglasville, GA 30135-2769 | 2017-02-09 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| 1245682079 | Butterfly Gardens Hopice & Palliative Care, LLC | Point of Service | 3112 Blackmon Ct, Hephzibah, GA 30815-7064 | 2016-07-05 |
| 1194179861 | A Humbling Spirit Family Practice, Inc. | Point of Service | 2412 Horseshoe Bend Rd Sw, Marietta, GA 30064-4412 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on SUGARLOAF CROSSING DENTAL CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.