| Ccsd-dacula, Llc | |
|
420 Dacula Rd Dacula GA 30019-2128 | |
| (770) 277-0800 | |
| Not Available |
| Full Name | Ccsd-dacula, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 420 Dacula Rd, Dacula, Georgia |
| Authorized Official Name and Position | Rachel Smallwood (OFFICE MANAGER) |
| Authorized Official Contact | 7709951957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccsd-dacula, Llc 420 Dacula Rd Dacula GA 30019-2128 Ph: (770) 277-0800 | Ccsd-dacula, Llc 420 Dacula Rd Dacula GA 30019-2128 Ph: (770) 277-0800 |
| NPI Number | 1932754223 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932754223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Georgia Dental Professionals, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Dacula Rd, Suite 105, Dacula, GA 30019 Phone: 678-271-0718 | |
Northeast Georgia Dental Professionals, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Braselton Hwy Ste 12, Dacula, GA 30019 Phone: 770-932-4240 | |
Georgia Dental Professionals, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 952 Harbins Rd, Ste 401, Dacula, GA 30019 Phone: 470-268-3056 Fax: 470-268-3127 | |
Hamilton Mill Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Hamilton Creek Pkwy Ste 140, Dacula, GA 30019 Phone: 678-622-1822 | |
Children's Dentistry At Hamilton Mill Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Hamilton Creek Pkwy, Suite 200, Dacula, GA 30019 Phone: 678-714-7011 Fax: 678-714-8388 | |
Hamilton Mill Oral And Facial Surgery, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 4285 Jim Moore Rd, Bldg 100, Suite 104, Dacula, GA 30019 Phone: 678-835-1135 Fax: 678-835-1136 | |
Samuel S Kwon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Braselton Hwy, Suite 201, Dacula, GA 30019 Phone: 678-714-7575 Fax: 678-714-7525 |