LIFETIME DENTAL GROUP LLC


Address: 3796 Satellite Blvd, Duluth, GA 30096-5699
Phone: 7704764140

LIFETIME DENTAL GROUP LLC (NPI# 1922380633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922380633
Entity Type Organization
Organization Name LIFETIME DENTAL GROUP LLC
Other Organization Name GWINNETT PLACE DENTAL
Practice Address 3796 Satellite Blvd
Duluth
GA 30096-5699
Mailing Address 3920 Shiloh Ridge Run
Suwanee
GA 30024-6015
Practice Telephone 7704764140
Practice Fax Number 7704979435
Enumeration Date 2011-09-20
Last Update Date 2011-09-20
Authorized Official Name DR. FABIOLA PALACIOS-BARRIONUEVO (MEMBER)
Authorized Official Telephone 7708424900
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN014333 GA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Gwinnett Place Dental Doing Business As Name - Organization

Office Location

Street Address 3796 SATELLITE BLVD
City DULUTH
State GA
Zip Code 30096-5699

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124172614 Christopher B Wright Dentist 3796 Satellite Blvd, Suite 201, Duluth, GA 30096-5699 2007-01-22
1699325506 Dental Home Atlanta Dentist 3796 Satellite Blvd, Suite #100, Duluth, GA 30096 2019-09-13
1609230143 Duluth Pediatric Dentistry PC Dentist 3796 Satellite Blvd, Suite 201, Duluth, GA 30096-5699 2016-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023677275 Gabrielle Lina Going Dentist 2405 Satellite Blvd Ste 115, Duluth, GA 30096-9022 2019-06-11
1093296733 Marharyta Viarkhouskaya Dentist 2550 Pleasant Hill Rd Ste 119, Duluth, GA 30096-9278 2018-08-21
1881114015 Eric Michael Anderson Dentist 2925 Premiere Pkwy Ste 165, Duluth, GA 30097-5258 2017-06-20
1790213825 Devan Callaway Dentist 3415 Highway 120, Duluth, GA 30096-3354 2017-06-02
1184161119 George Marius Dinulescu Dentist 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 2017-01-29
1801260187 Bluestone Dental Pllc Dentist 906 Woodland Avenue, Duluth, MN 55812-1113 2015-11-24
1144600859 Camille Zelen Dds Pa Dentist 1624 Woodland Ave, Duluth, MN 55803-2628 2015-06-08
1205230976 Ace Dental Care, LLC Dentist 7990 Turnberry Way, Duluth, GA 30097-1634 2014-10-09
1588904619 Janet Stuckwish Dunwody Dentist 3677 Habersham Ln, Duluth, GA 30096-6111 2013-02-27
1124305057 Jong S Lee Dentist 4855 River Green Pkwy Ste 110, Duluth, GA 30096-8333 2011-11-06
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Competitor

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City DULUTH
Zip Code 30096

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Dataset Information

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.

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