SQUARE ONE DENTAL LLC – NPI #1679029219
Clinic/Center

SQUARE ONE DENTAL LLC is an AHC clinic located in CUMMING, GA. NPPES has assigned the NPI number 1679029219 to SQUARE ONE DENTAL LLC on September 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SQUARE ONE DENTAL LLC below.

NPI Profile for
SQUARE ONE DENTAL LLC

NPI Number
1679029219
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SQUARE ONE DENTAL LLC
Primary location
3510 ROWE LANE
CUMMING, GA 30041
Phone: (770) 888-8295 Fax:
Mailing address
5870 CHARLOTTE LN
SUITE 200
CUMMING, GA 30040-0316
Phone: (770) 888-8295 Fax:
Organization Subpart
No
Authorized Official
SENGSOURIYA ANANTHASANE
DENTIST
Phone: (770) 888-8295
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 GA DN012307

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.