1. Home
  2. Directory
  3. Georgia
  4. Johns Creek
  5. Clinic Center
  6. NPI Profile

CENTER FOR COSMETIC AND SEDATION DENTISTRY
NPI 1619638814
Clinic/Center - Dental in Johns Creek, GA

Active since January 10, 2022
3440 OLD ALABAMA RD, JOHNS CREEK, GA 30022(770) 475-0603(770) 753-8893 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Jan 10, 2022 (2 updates tracked since 2022).

About Center For Cosmetic And Sedation Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR COSMETIC AND SEDATION DENTISTRY (NPI 1619638814) is a healthcare organization registered as a dental in Johns Creek, Georgia and active in the NPI registry since January 2022. The organization lists Donna Tidwell, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1619638814
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCENTER FOR COSMETIC AND SEDATION DENTISTRY JOHNS CREEK, LLC
Location Address3440 OLD ALABAMA RDJohns Creek, GA 30022-5525
Mailing Address3440 Old Alabama RdJohns Creek, GA 30022-5525
Phone(770) 475-0603
Fax(770) 753-8893
Organization SubpartNo
Authorized OfficialDonna TidwellInsurance Manager · (770) 995-1957
Enumeration DateJanuary 10, 2022
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1619638814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3440 OLD ALABAMA RD, Johns Creek, GA 30022
Open in Google Maps ↗

Other Names 1

Doing Business AsCenter For Cosmetic And Sedation Dentistry

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Cosmetic And Sedation Dentistry Johns Creek, LLC's NPI number?

The NPI number for Center For Cosmetic And Sedation Dentistry Johns Creek, LLC is 1619638814. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as Center For Cosmetic And Sedation Dentistry.

Where is Center For Cosmetic And Sedation Dentistry Johns Creek, LLC located?

Center For Cosmetic And Sedation Dentistry Johns Creek, LLC is located at 3440 Old Alabama Rd, Johns Creek, GA 30022. The listed phone number is (770) 475-0603.

What is Center For Cosmetic And Sedation Dentistry Johns Creek, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Center For Cosmetic And Sedation Dentistry Johns Creek, LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.