is a Dental Clinic in Lilburn, Georgia. It is located at 504 Indian Trail Lilburn Rd Nw, Suite 100, Lilburn, GA and its contact number is 770-921-5100. The authorized person for is Carlos Fernando Barrionuevo
who is Ceo of the clinic and their contact number is 770-921-5100. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
504 Indian Trail Lilburn Rd Nw, Suite 100, Lilburn, Georgia, 30047-3720
Phone:
770-921-5100
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Carlos Fernando Barrionuevo
Position:
Ceo
Contact Number:
770-921-5100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1104167865
NPI Enumeration Date:
06 Mar, 2013
NPI Last Update On:
06 Mar, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
Georgia
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
504 Indian Trail Lilburn Rd Nw, Suite 100 Lilburn, Georgia
Zip:
30047-3720
Phone Number:
770-921-5100
Patients can reach at 504 Indian Trail Lilburn Rd Nw, Suite 100, Lilburn, Georgia or can call to book an appointment on 770-921-5100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.