SQUARE ONE DENTAL LLC
NPI 1679029219
Clinic/Center - Dental in Cumming, GA
Active since September 01, 2016
About Square One Dental Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SQUARE ONE DENTAL LLC (NPI 1679029219) is a healthcare organization registered as a dental in Cumming, Georgia and active in the NPI registry since September 2016. The organization lists Sengsouriya Ananthasane, Dentist, as its authorized official.
NPPES Registry Identity
NPI1679029219
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSQUARE ONE DENTAL LLC
Location Address3510 ROWE LANECumming, GA 30041
Mailing Address5870 Charlotte Ln, Suite 200Cumming, GA 30040-0316 · (770) 888-8295
Phone(770) 888-8295
Organization SubpartNo
Authorized OfficialSengsouriya AnanthasaneDentist · (770) 888-8295
Enumeration DateSeptember 1, 2016
✔ NPI 1679029219 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in GA · DN012307
3510 ROWE LANE, Cumming, GA 30041
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679029219, enumerated as an "organization" on September 01, 2016.
The provider is located at 3510 ROWE LANE CUMMING, GA 30041 and the phone number is (770) 888-8295.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
