Healthcare Provider Details

I. General information

NPI: 1356250252
Provider Name (Legal Business Name): SHWSH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GARNETT ST
BUFORD GA
30518-3200
US

IV. Provider business mailing address

600 GARNETT ST
BUFORD GA
30518-3200
US

V. Phone/Fax

Practice location:
  • Phone: 678-769-7683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM BRUCE FINK
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 770-331-1092