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GWINNETT PLACE DENTAL
NPI 1922380633
Dentist - General Practice in Duluth, GA

Active since September 20, 2011
3796 SATELLITE BLVD, DULUTH, GA 30096(770) 476-4140(770) 497-9435 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwinnett Place Dental NPPES

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

GWINNETT PLACE DENTAL (NPI 1922380633) is a healthcare organization registered as a general practice in Duluth, Georgia and active in the NPI registry since September 2011. The organization lists Fabiola Palacios-barrionuevo, Member, as its authorized official.

NPPES Registry Identity

NPI1922380633
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL GROUP LLC
Location Address3796 SATELLITE BLVDDuluth, GA 30096-5699
Mailing Address3920 Shiloh Ridge RunSuwanee, GA 30024-6015
Phone(770) 476-4140
Fax(770) 497-9435
Organization SubpartNo
Authorized OfficialFabiola Palacios-barrionuevoMember · (770) 842-4900
Enumeration DateSeptember 20, 2011
✔ NPI 1922380633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN014333
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.
3796 SATELLITE BLVD, Duluth, GA 30096
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Other Names 1

Doing Business AsGwinnett Place Dental

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 3

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

DR. CHRISTOPHER B WRIGHT DDS
Dentist (General Practice)
3796 SATELLITE BLVD, SUITE 201
DULUTH, GA 30096
Gwinnett County (770) 476-9025
DULUTH PEDIATRIC DENTISTRY PC
Dentist (Pediatric Dentistry)
3796 SATELLITE BLVD, SUITE 201
DULUTH, GA 30096
Gwinnett County (678) 763-2600
DENTAL HOME ATLANTA
Dentist (General Practice)
3796 SATELLITE BLVD, SUITE #100
DULUTH, GA 30096
Gwinnett County (770) 476-4140

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 Lifetime Dental Group LLC's NPI number?

The NPI number for Lifetime Dental Group LLC is 1922380633. It was assigned to this organization in the NPPES registry on September 20, 2011. The provider is doing business as Gwinnett Place Dental.

Where is Lifetime Dental Group LLC located?

Lifetime Dental Group LLC is located at 3796 Satellite Blvd, Duluth, GA 30096. The listed phone number is (770) 476-4140.

What is Lifetime Dental Group 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 Lifetime Dental Group LLC was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.