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CONYERS DENTURES & IMPLANT CENTER
NPI 1487842951
Dentist - Periodontics in Conyers, GA

Active since October 10, 2007
1916 IRIS DRIVE, SW, CONYERS, GA 30094(770) 483-4469(770) 922-0401 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conyers Dentures & Implant Center NPPES

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

CONYERS DENTURES & IMPLANT CENTER (NPI 1487842951) is a healthcare organization registered as a periodontics in Conyers, Georgia and active in the NPI registry since October 2007. The organization lists Gordon Cleland Fraser, Dentist, as its authorized official.

NPPES Registry Identity

NPI1487842951
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCONYERS DENTURES & IMPLANT CENTER
Location Address1916 IRIS DRIVE, SWConyers, GA 30094
Mailing AddressP.o. Box 2213Peachtree City, GA 30269 · (770) 483-4469 · Fax (770) 922-0401
Phone(770) 483-4469
Fax(770) 922-0401
Organization SubpartNo
Authorized OfficialGordon Cleland FraserDentist · (770) 483-4469
Enumeration DateOctober 10, 2007
Last NPPES UpdateMay 2, 2016
✔ NPI 1487842951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in GA · DN012684
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN012684 (GA)
1916 IRIS DRIVE, SW, Conyers, GA 30094
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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 Conyers Dentures & Implant Center's NPI number?

The NPI number for Conyers Dentures & Implant Center is 1487842951. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Conyers Dentures & Implant Center located?

Conyers Dentures & Implant Center is located at 1916 Iris Drive, SW, Conyers, GA 30094. The listed phone number is (770) 483-4469.

What is Conyers Dentures & Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Conyers Dentures & Implant Center was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.