FABULOUS DENTISTRY AND ORTHODONTIC PC
NPI 1508038076
Dentist - Orthodontics and Dentofacial Orthopedics in Lilburn, GA

Active since March 25, 2008
950 INDIAN TRL RD NW, SUITE 3-G, LILBURN, GA 30047(678) 325-3970(678) 325-3971 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fabulous Dentistry And Orthodontic Pc NPPES

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

FABULOUS DENTISTRY AND ORTHODONTIC PC (NPI 1508038076) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Lilburn, Georgia and active in the NPI registry since March 2008. The organization lists Juan J Solano, President, as its authorized official.

NPPES Registry Identity

NPI1508038076
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameFABULOUS DENTISTRY AND ORTHODONTIC PC
Location Address950 INDIAN TRL RD NW, SUITE 3-GLilburn, GA 30047-1721
Mailing Address950 Indian Trl Rd Nw, Suite 3-gLilburn, GA 30047-1721 · (678) 325-3970 · Fax (678) 325-3971
Fax(678) 325-3971
Organization SubpartNo
Authorized OfficialJuan J SolanoPresident · (678) 325-3970
Enumeration DateMarch 25, 2008
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1508038076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
950 INDIAN TRL RD NW, Lilburn, GA 30047

Other Identifiers 1

Medicaid502321377BGA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fabulous Dentistry And Orthodontic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fabulous Dentistry And Orthodontic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1548337967
950 INDIAN TRAIL LILBURN RD NW 3G
Lilburn, GA 30047
(770) 374-3970
✔ PECOS5.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dentistry And Orthodontic PC's NPI number?

The NPI number for Fabulous Dentistry And Orthodontic PC is 1508038076. It was assigned to this organization in the NPPES registry on March 25, 2008.

Where is Fabulous Dentistry And Orthodontic PC located?

Fabulous Dentistry And Orthodontic PC is located at 950 Indian Trl Rd NW Suite 3-G, Lilburn, GA 30047. The listed phone number is (678) 325-3970.

What is Fabulous Dentistry And Orthodontic PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Fabulous Dentistry And Orthodontic PC enrolled in Medicare?

Yes. Fabulous Dentistry And Orthodontic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fabulous Dentistry And Orthodontic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Fabulous Dentistry And Orthodontic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fabulous Dentistry And Orthodontic PC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.