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FABULOUS SMILES OF LILBURN
NPI 1205211133
Point of Service in Lilburn, GA

Active since July 21, 2015
331 ARCADO RD NW, LILBURN, GA 30047(770) 557-0788(404) 420-2951 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fabulous Smiles Of Lilburn NPPES

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

FABULOUS SMILES OF LILBURN (NPI 1205211133) is a healthcare organization registered as a point of service in Lilburn, Georgia and active in the NPI registry since July 2015. The organization lists Nikki Rolls, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205211133
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameFABULOUS SMILES OF LILBURN
Location Address331 ARCADO RD NWLilburn, GA 30047-3077
Mailing Address331 Arcado Rd NwLilburn, GA 30047-3077 · (770) 557-0788 · Fax (404) 420-2951
Phone(770) 557-0788
Fax(404) 420-2951
Organization SubpartNo
Authorized OfficialNikki RollsOffice Manager · (770) 557-0788
Enumeration DateJuly 21, 2015
✔ NPI 1205211133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in GA · DN011973
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
331 ARCADO RD NW, Lilburn, GA 30047
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THADDEUS HARVEY JR. DDS
Dentist (General Practice)
331 ARCADO RD NW
LILBURN, GA 30047
Gwinnett County (770) 923-1814
KINDTOUCH HEALTHCARE SERVICES LLC
Home Health
331 ARCADO RD NW, SUITE A-104
LILBURN, GA 30047
Gwinnett County (470) 545-1629
KRISHIVA SMILES, LLC
Dentist (General Practice)
331 ARCADO RD NW, SUITE D
LILBURN, GA 30047
Gwinnett County (770) 557-0788
CENTER FOR COUNSELING, REHABILITATION, AND PERSONAL EVALUATION
Counselor
331 ARCADO RD NW, SUITE B
LILBURN, GA 30047
Gwinnett County (770) 564-3230
CENTER FOR COUNSELING, REHABILITATION, & PERSONAL EVALUATION
Counselor (Professional)
331 ARCADO RD NW, SUITE B
LILBURN, GA 30047
Gwinnett County (770) 564-3230

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 Fabulous Smiles Of Lilburn's NPI number?

The NPI number for Fabulous Smiles Of Lilburn is 1205211133. It was assigned to this organization in the NPPES registry on July 21, 2015.

Where is Fabulous Smiles Of Lilburn located?

Fabulous Smiles Of Lilburn is located at 331 Arcado Rd NW, Lilburn, GA 30047. The listed phone number is (770) 557-0788.

What is Fabulous Smiles Of Lilburn's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Fabulous Smiles Of Lilburn was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.