SGP SERVICES LLC
NPI 1811656663
Dentist - Periodontics in Cumming, GA

Active since December 09, 2021
285 ELM ST STE 103, CUMMING, GA 30040(678) 455-7828 Get Directions Write a Review

NPPES record last updated: February 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2022, Dec 9, 2021 (2 updates tracked since 2021).

  • Organization
  • Dentist
  • Periodontics

About SGP SERVICES LLC

This page provides the complete NPI Profile along with additional information for Sgp Services Llc, a provider established in Cumming, Georgia operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1811656663 assigned on December 2021. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Seon Gyeong Park (Dentist)

NPI
1811656663 Verify this NPI
Provider Name
SGP SERVICES LLC
Entity Type
Organization
Location Address
285 ELM ST STE 103 CUMMING, GA 30040
Location Phone
(678) 455-7828
Mailing Address
285 ELM ST STE 103 CUMMING, GA 30040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2021
Last Update Date
02-20-2022
Code Navigator

A dentist like Sgp Services Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SEON GYEONG PARK

Authorized Official Title
DENTIST
Authorized Official Phone
(678) 455-7828

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Dental)
285 ELM ST STE 103
CUMMING, GA 30040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811656663, enumerated as an "organization" on December 09, 2021.

The provider is located at 285 ELM ST STE 103 CUMMING, GA 30040 and the phone number is (678) 455-7828.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.