ELITE DENTAL MANAGEMENT INC
NPI 1699588178
Clinic/Center - Dental in Lawrenceville, GA
About Elite Dental Management Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE DENTAL MANAGEMENT INC (NPI 1699588178), doing business as Riverside Family Dental, is a healthcare organization registered as a dental in Lawrenceville, Georgia and active in the NPI registry since January 2025. The organization lists Chin Park, Dentist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elite Dental Management Inc's NPI number?
The NPI number for Elite Dental Management Inc is 1699588178. It was assigned to this organization in the NPPES registry on January 29, 2025. The provider is doing business as Riverside Family Dental.
Where is Elite Dental Management Inc located?
Elite Dental Management Inc is located at 2100 Riverside Pkwy Ste 130, Lawrenceville, GA 30043. The listed phone number is (770) 822-3400.
What is Elite Dental Management Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Elite Dental Management Inc was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Elite Dental Management Inc · NPI 1699588178
Dental organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since January 29, 2025.
## Identity
- **NPI:** 1699588178 (Entity type: Organization)
- **Enumerated:** January 29, 2025
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Riverside Family Dental (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Chin Park, DENTIST/OWNER
## Practice location
- **Address:** 2100 RIVERSIDE PKWY STE 130, Lawrenceville, GA 30043-5914
- **Phone:** (770) 822-3400
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699588178) · Data from the CMS NPPES public registry.