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MALL OF GEORGIA DENTISTRY
NPI 1871943662
Dentist - General Practice in Buford, GA

Active since June 13, 2016
1905 MALL OF GEORGIA BLVD STE 1, BUFORD, GA 30519(678) 714-6343(678) 714-6345 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2018, Jun 13, 2016 (2 updates tracked since 2016).

About Mall Of Georgia Dentistry NPPES

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

MALL OF GEORGIA DENTISTRY (NPI 1871943662) is a healthcare organization registered as a general practice in Buford, Georgia and active in the NPI registry since June 2016. The organization lists Allison Vancil, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871943662
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMALL OF GEORGIA DENTISTRY
Location Address1905 MALL OF GEORGIA BLVD STE 1Buford, GA 30519
Mailing Address1905 Mall Of Georgia Blvd Ste 1Buford, GA 30519 · (678) 714-6343 · Fax (678) 714-6345
Phone(678) 714-6343
Fax(678) 714-6345
Organization SubpartNo
Authorized OfficialAllison VancilOffice Manager · (678) 714-6343
Enumeration DateJune 13, 2016
Last NPPES UpdateMay 2, 20182 updates tracked since enumeration
✔ NPI 1871943662 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 · 012441
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 ListedClinic/Center · DentalTaxonomy 261QD0000X · License 012441 (GA)
1905 MALL OF GEORGIA BLVD STE 1, Buford, GA 30519
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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

Other Providers at the Same Location NPPES

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

BRIAN D. VANCIL DMD
Dentist (General Practice)
1905 MALL OF GEORGIA BLVD STE 1
BUFORD, GA 30519
Gwinnett County (678) 714-6343

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 Mall Of Georgia Dentistry's NPI number?

The NPI number for Mall Of Georgia Dentistry is 1871943662. It was assigned to this organization in the NPPES registry on June 13, 2016.

Where is Mall Of Georgia Dentistry located?

Mall Of Georgia Dentistry is located at 1905 Mall Of Georgia Blvd Ste 1, Buford, GA 30519. The listed phone number is (678) 714-6343.

What is Mall Of Georgia Dentistry'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 Mall Of Georgia Dentistry was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.