Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccsd-Pc, LLC

Organization Dental Clinic/Center · NPI 1619820214

Ccsd-Pc, LLC is a Dental Clinic/Center in Peachtree Corners, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5075 Peachtree Pkwy Ste 105B
Peachtree Corners, GA 30092-6506
Phone: (678) 288-4888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1619820214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Tidwell — Insurance Manager · (770) 995-1957
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address5075 Peachtree Pkwy Ste 105b, Peachtree Corners, GA 30092-6506

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