SUGARLOAF CHILDRENS DENTISTRY NPI 1043042591

NPI Information

  • NPI: 1043042591
  • Provider Name: SUGARLOAF CHILDRENS DENTISTRY
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1299 OLD PEACHTREE RD NW STE 102103
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 813-9393

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NPI Details

SUGARLOAF CHILDRENS DENTISTRY is a dental clinic center in Suwanee, GA. SUGARLOAF CHILDRENS DENTISTRY NPI is 1043042591. The provider is registered as an organization entity type.

The provider's business location address is:

1299 OLD PEACHTREE RD NW STE 102103
SUWANEE, GA
ZIP 30024-028
Phone: (770) 813-9393

The provider's authorized official is Lisa Lee .
The authorized official title is Owner and has the following contact phone number (770) 813-9393.

The enumeration date for this NPI number is 8/14/2024 and was last updated on 8/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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