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PERFECT PORTRAIT FAMILY DENTISTRY
NPI 1740723311
Dentist in Locust Grove, GA

Active since November 29, 2016
5040 BILL GARDNER PKWY STE 300, LOCUST GROVE, GA 30248(678) 304-8408(689) 304-8409 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Perfect Portrait Family Dentistry NPPES

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

PERFECT PORTRAIT FAMILY DENTISTRY (NPI 1740723311) is a healthcare organization registered as a dentist in Locust Grove, Georgia and active in the NPI registry since November 2016. The organization lists Michelle Sandra Gwyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1740723311
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMICHELLE GWYN DDS, PC
Location Address5040 BILL GARDNER PKWY STE 300Locust Grove, GA 30248-3758
Mailing Address5040 Bill Gardner Pkwy Ste 300Locust Grove, GA 30248-3758 · (678) 304-8408 · Fax (689) 304-8409
Phone(678) 304-8408
Fax(689) 304-8409
Organization SubpartNo
Authorized OfficialMichelle Sandra GwynOwner · (678) 304-8408
Enumeration DateNovember 29, 2016
✔ NPI 1740723311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN013195
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5040 BILL GARDNER PKWY STE 300, Locust Grove, GA 30248
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Other Names 1

Doing Business AsPerfect Portrait Family Dentistry

Other Identifiers 1

Medicaid675686848CGA

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 SINGLE 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 Michelle Gwyn Dds, PC's NPI number?

The NPI number for Michelle Gwyn Dds, PC is 1740723311. It was assigned to this organization in the NPPES registry on November 29, 2016. The provider is doing business as Perfect Portrait Family Dentistry.

Where is Michelle Gwyn Dds, PC located?

Michelle Gwyn Dds, PC is located at 5040 Bill Gardner Pkwy Ste 300, Locust Grove, GA 30248. The listed phone number is (678) 304-8408.

What is Michelle Gwyn Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Michelle Gwyn Dds, PC was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.