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VAN DERHEI IMPLANT PROSTHETICS DENTAL LLC
NPI 1740251073
Dentist - General Practice in Dacula, GA

Active since January 26, 2006
3625 BRASELTON HWY, #102, DACULA, GA 30019(678) 318-3353(678) 318-3350 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Van Derhei Implant Prosthetics Dental Llc NPPES

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

VAN DERHEI IMPLANT PROSTHETICS DENTAL LLC (NPI 1740251073), doing business as Vip Family Dentistry, is a healthcare organization registered as a general practice in Dacula, Georgia and active in the NPI registry since January 2006. The organization lists Patrick Van Derhei, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1740251073
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVAN DERHEI IMPLANT PROSTHETICS DENTAL LLC
Location Address3625 BRASELTON HWY, #102Dacula, GA 30019
Mailing Address3625 Braselton Hwy, #102Dacula, GA 30019 · (678) 318-3353 · Fax (678) 318-3350
Phone(678) 318-3353
Fax(678) 318-3350
Organization SubpartNo
Authorized OfficialPatrick Van DerheiCo Owner · (678) 318-3353
Enumeration DateJanuary 26, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1740251073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN011854
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.

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License DN012702 (GA)

Other Names 1

Doing Business AsVip Family Dentistry

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

Other Providers at the Same Location NPPES 11

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

DR. BRIAN ALEXANDER PUGH DMD
Dentist (Endodontics)
3625 BRASELTON HWY, SUITE 101
DACULA, GA 30019
Gwinnett County (770) 614-9467
DR. DANIEL RAY JONES D.D.S.
Dentist (General Practice)
3625 BRASELTON HWY, SUITE 103
DACULA, GA 30019
Gwinnett County (678) 318-3191
DR. BRITTANY JONES POTTER D.M.D.
Dentist (General Practice)
3625 BRASELTON HWY, #103
DACULA, GA 30019
Gwinnett County (678) 318-3191
NICHOLAS ROY FRADY PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521
THOMAS EDWARD JACKSON PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521
TYLER JOSEPH MUSSELWHITE PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521
GLOICIE DARLENE PRUITT PT
Physical Therapist
3625 BRASELTON HWY, STE 204
DACULA, GA 30019
Gwinnett County (770) 932-9521
ANTHONY JOHN DIDATO JR.
Dentist (Endodontics)
3625 BRASELTON HWY, 101
DACULA, GA 30019
Gwinnett County (706) 993-6488

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 Van Derhei Implant Prosthetics Dental LLC's NPI number?

The NPI number for Van Derhei Implant Prosthetics Dental LLC is 1740251073. It was assigned to this organization in the NPPES registry on January 26, 2006.

Where is Van Derhei Implant Prosthetics Dental LLC located?

Van Derhei Implant Prosthetics Dental LLC is located at 3625 Braselton Hwy #102, Dacula, GA 30019. The listed phone number is (678) 318-3353.

What is Van Derhei Implant Prosthetics Dental LLC'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 Van Derhei Implant Prosthetics Dental LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.