1. Home
  2. Directory
  3. Georgia
  4. Peachtree Corners
  5. Clinic Center
  6. NPI Profile

CCSD-PC, LLC
NPI 1619820214
Clinic/Center - Dental in Peachtree Corners, GA

Active since February 16, 2026
5075 PEACHTREE PKWY STE 105B, PEACHTREE CORNERS, GA 30092(678) 288-4888 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Ccsd-pc, Llc NPPES

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

CCSD-PC, LLC (NPI 1619820214) is a healthcare organization registered as a dental in Peachtree Corners, Georgia and active in the NPI registry since February 2026. The organization lists Donna Tidwell, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1619820214
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCCSD-PC, LLC
Location Address5075 PEACHTREE PKWY STE 105BPeachtree Corners, GA 30092-6506
Mailing Address5075 Peachtree Pkwy Ste 105bPeachtree Corners, GA 30092-6506 · (678) 288-4888
Phone(678) 288-4888
Organization SubpartNo
Authorized OfficialDonna TidwellInsurance Manager · (770) 995-1957
Enumeration DateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1619820214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5075 PEACHTREE PKWY STE 105B, Peachtree Corners, GA 30092
Open in Google Maps ↗

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 Ccsd-Pc, LLC's NPI number?

The NPI number for Ccsd-Pc, LLC is 1619820214. It was assigned to this organization in the NPPES registry on February 16, 2026.

Where is Ccsd-Pc, LLC located?

Ccsd-Pc, LLC is located at 5075 Peachtree Pkwy Ste 105B, Peachtree Corners, GA 30092. The listed phone number is (678) 288-4888.

What is Ccsd-Pc, 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 Ccsd-Pc, LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.