ADVANCED CENTER OF COSMETIC DENTISTRY & IMPLANTOLOGY PC
NPI 1639182306
Dentist - General Practice in Lilburn, GA

Active since August 14, 2006
449 PLEASANT HILL RD, SUITE 101, LILBURN, GA 30047(770) 564-9906(770) 564-9907 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Advanced Center Of Cosmetic Dentistry & Implantology Pc NPPES

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

ADVANCED CENTER OF COSMETIC DENTISTRY & IMPLANTOLOGY PC (NPI 1639182306) is a healthcare organization registered as a general practice in Lilburn, Georgia and active in the NPI registry since August 2006. The organization lists Randolph Paul Gardner, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1639182306
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANCED CENTER OF COSMETIC DENTISTRY & IMPLANTOLOGY PC
Location Address449 PLEASANT HILL RD, SUITE 101Lilburn, GA 30047
Mailing Address449 Pleasant Hill Rd, Suite 101Lilburn, GA 30047 · (770) 564-9906 · Fax (770) 564-9907
Fax(770) 564-9907
Organization SubpartNo
Authorized OfficialRandolph Paul GardnerGeneral Dentist · (770) 564-9906
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639182306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in GA · DN01162✔ Licensed in FL · DN14123
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.
449 PLEASANT HILL RD, Lilburn, GA 30047

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
449 PLEASANT HILL RD, SUITE 101
LILBURN, GA 30047
Dentist
449 PLEASANT HILL RD, #101
LIBURN, GA 30047
Dentist (General Practice)
449 PLEASANT HILL RD, SUITE 101
LILBURN, GA 30047

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 Advanced Center Of Cosmetic Dentistry & Implantology PC's NPI number?

The NPI number for Advanced Center Of Cosmetic Dentistry & Implantology PC is 1639182306. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Advanced Center Of Cosmetic Dentistry & Implantology PC located?

Advanced Center Of Cosmetic Dentistry & Implantology PC is located at 449 Pleasant Hill Rd Suite 101, Lilburn, GA 30047. The listed phone number is (770) 564-9906.

What is Advanced Center Of Cosmetic Dentistry & Implantology PC'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 Advanced Center Of Cosmetic Dentistry & Implantology PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.