GWINNETT SMILE DESIGN (NPI# 1710435763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710435763 |
| Entity Type | Organization |
| Organization Name | GWINNETT SMILE DESIGN |
| Practice Address |
603 Old Norcross Rd Suite B Lawrenceville GA 30046-4315 |
| Practice Telephone | 7709959990 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | KATLYNN PITTMAN (OFFICE MANAGER) |
| Authorized Official Telephone | 7709959990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN14715 | GA | Dental Providers |
| N | 122300000X | Dentist | DN014749 | GA | Dental Providers |
| N | 124Q00000X | Dental Hygienist | DH003931 | GA | Dental Providers |
| N | 124Q00000X | Dental Hygienist | DH005357 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN014749 | GA | Dental Providers |
| Street Address |
603 OLD NORCROSS RD SUITE B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225660541 | Ama Dental Care LLC | Dentist | 3370 Sugarloaf Pkwy Ste G8, Lawrenceville, GA 30044-5486 | 2020-02-05 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1558815365 | Maxim Godko | Dentist | 100 Federal City Rd # 104b, Lawrenceville, NJ 08648-1664 | 2016-08-09 |
| 1194185983 | Lawrenceville Dentist Office, PC | Dentist | 918 Duluth Hwy, Suite B, Lawrenceville, GA 30043 | 2016-03-07 |
| 1558746974 | Haresh Modha | Dentist | 15 Collins Industrial Way Ste A, Lawrenceville, GA 30043-6029 | 2015-07-27 |
| 1205249570 | Heartland Dental Care of Georgia, P.C. | Dentist | 4795 Sugarloaf Pkwy, Lawrenceville, GA 30044-6984 | 2014-06-04 |
| 1528318508 | Reach Dental PC | Dentist | 845 Scenic Hwy, Suite#300, Lawrenceville, GA 30046-7101 | 2012-09-17 |
| 1467602037 | Frank Horting Jones | Dentist | 73 Hopatcong Dr, Lawrenceville, NJ 08648-4133 | 2008-09-19 |
| 1275707200 | Jennifer Lynn Mccoy | Dentist | 365 W Pike St Ste 101, Lawrenceville, GA 30046-4862 | 2008-04-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on GWINNETT SMILE DESIGN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.