GWINNETT FAMILY DENTISTRY
NPI 1104167865
Dentist - General Practice in Lilburn, GA

Active since March 06, 2013
504 INDIAN TRAIL LILBURN RD NW, SUITE 100, LILBURN, GA 30047(770) 921-5100 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwinnett Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWINNETT FAMILY DENTISTRY (NPI 1104167865) is a healthcare organization registered as a general practice in Lilburn, Georgia and active in the NPI registry since March 2013. The organization lists Carlos Fernando Barrionuevo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104167865
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGWINNETT FAMILY DENTISTRY LLC
Location Address504 INDIAN TRAIL LILBURN RD NW, SUITE 100Lilburn, GA 30047-3720
Mailing Address504 Indian Trail Lilburn Rd Nw, Suite 100Lilburn, GA 30047-3720 · (770) 921-5100
Organization SubpartNo
Authorized OfficialCarlos Fernando BarrionuevoCeo · (770) 921-5100
Enumeration DateMarch 6, 2013
NPI 1104167865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
504 INDIAN TRAIL LILBURN RD NW, Lilburn, GA 30047

Other Names 1

Doing Business AsGwinnett Family Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwinnett Family Dentistry LLC's NPI number?

The NPI number for Gwinnett Family Dentistry LLC is 1104167865. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Gwinnett Family Dentistry.

Where is Gwinnett Family Dentistry LLC located?

Gwinnett Family Dentistry LLC is located at 504 Indian Trail Lilburn Rd NW Suite 100, Lilburn, GA 30047. The listed phone number is (770) 921-5100.

What is Gwinnett Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gwinnett Family Dentistry LLC was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.