SQUARE ONE DENTAL LLC (NPI# 1679029219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679029219 |
| Entity Type | Organization |
| Organization Name | SQUARE ONE DENTAL LLC |
| Practice Address |
3510 Rowe Lane Cumming GA 30041 |
| Mailing Address |
5870 Charlotte Ln Suite 200 Cumming GA 30040-0316 |
| Practice Telephone | 7708888295 |
| Mailing Telephone | 7708888295 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | SENGSOURIYA ANANTHASANE (DENTIST) |
| Authorized Official Telephone | 7708888295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN012307 | GA | Ambulatory Health Care Facilities |
| Street Address |
3510 ROWE LANE |
| City | CUMMING |
| State | GA |
| Zip Code | 30041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| 1427462480 | Ly Le | Pharmacist | 2395 Peachtree Parkway, Cumming, GA 30041 | 2014-06-18 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496159 | Imelda Crews, Dds, P.C. | Clinic/Center | 202 Tribble Gap Rd Ste 101, Cumming, GA 30040-2540 | 2018-05-03 |
| 1518474501 | Cumming Endodontics | Clinic/Center | 3275 Market Place Blvd Ste 200, Cumming, GA 30041-7978 | 2017-12-29 |
| 1174877237 | Greater Atlanta Oral Facial Surgery | Clinic/Center | 425 Peachtree Pkwy, Cumming, GA 30041-7236 | 2012-10-28 |
| 1700133279 | James W Lamb IIi Dmd Ms PC | Clinic/Center | 285 Elm St Ste 103, Cumming, GA 30040-8233 | 2012-08-14 |
| 1609021724 | Lauren W Shefrin Dds PC | Clinic/Center | 5015 Shelbourne Dr, Cumming, GA 30041-5111 | 2008-11-18 |
| 1134317464 | Crawford Orthodontic Care | Clinic/Center | 306 West Street, Cumming, GA 30040 | 2007-10-11 |
| 1528491644 | Peachstate Perio and Implants, Inc. | Clinic/Center | 1024 Market Place Blvd, Cumming, GA 30041-7921 | 2013-08-13 |
| 1790916484 | Dentistry At Windermere, P.C. | Clinic/Center | 2950 Buford Hwy, Suite 200, Cumming, GA 30041-8215 | 2009-07-29 |
| 1609918622 | Avenue Dental LLC | Clinic/Center | 983 Peachtree Parkway Suite C, Cumming, GA 30041 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606490 | Smile Pleasant Hill LLC | Clinic/Center | 828 Pleasant Hill Rd Nw Ste 10, Lilburn, GA 30047-2757 | 2020-10-15 |
| 1982213583 | Munoz Dental Resources LLC | Clinic/Center | 4141 Steve Reynolds Blvd Ste 1, Norcross, GA 30093-3060 | 2020-07-29 |
| 1407474794 | Familia Dentistry of Georgia, LLC | Clinic/Center | 4574 Lawrenceville Hwy Nw Ste 120r, Lilburn, GA 30047-3605 | 2020-07-13 |
| 1336763648 | Bethlehem Orthodontics | Clinic/Center | 426 Exchange Blvd Ste 400, Bethlehem, GA 30620-1791 | 2020-06-02 |
| 1770106882 | Smiles By Dixon PC | Clinic/Center | 690 Lanier Park Dr, Gainesville, GA 30501-2061 | 2020-05-22 |
| 1811516479 | Mouthpeace Dental 4, LLC | Clinic/Center | 541 Forest Pkwy Ste 18, Forest Park, GA 30297-6110 | 2020-04-14 |
| 1427677541 | Mh Dental Group, LLC | Clinic/Center | 1305 Cedarcrest Rd Ste 115, Dallas, GA 30132-8201 | 2020-04-09 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1952935710 | West Cobb Periodontics and Implant Dentistry LLC | Clinic/Center | 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 | 2020-03-02 |
| 1659904241 | Dental Now Kids LLC | Clinic/Center | 4151 Steve Reynolds Blvd Ste 2, Norcross, GA 30093-3060 | 2020-02-21 |
| Find all providers with the same taxonomy | ||||
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| 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.