| Gangwisch Dental Group, L.l.c. | |
|
912 Killian Hill Rd Sw Suite 100 Lilburn GA 30047-3138 | |
| (770) 923-3966 | |
| Not Available |
| Full Name | Gangwisch Dental Group, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 912 Killian Hill Rd Sw, Lilburn, Georgia |
| Authorized Official Name and Position | Richard Gangwisch (MEMBER) |
| Authorized Official Contact | 7709233966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gangwisch Dental Group, L.l.c. 912 Killian Hill Rd Sw Suite 100 Lilburn GA 30047-3138 Ph: (770) 923-3966 | Gangwisch Dental Group, L.l.c. 912 Killian Hill Rd Sw Suite 100 Lilburn GA 30047-3138 Ph: (770) 923-3966 |
| NPI Number | 1588849186 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588849186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN008859 (Georgia) | Primary |
Kool Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4030 Lawrenceville Highway #13, Lilburn, GA 30047 Phone: 678-252-5665 Fax: 678-252-5666 | |
Dentistry N Orthodontics Kennesaw Point At Lilburn Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Pleasant Hill Rd Nw Ste 1202, Lilburn, GA 30047 Phone: 678-580-3060 Fax: 770-557-1126 | |
Zoom Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4574 Lawrenceville Hwy Nw, 120, Lilburn, GA 30047 Phone: 770-921-9000 Fax: 770-931-7704 | |
Elrod And Price, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3997 Lawrenceville Hwy Nw, Suite 210, Lilburn, GA 30047 Phone: 770-921-6001 Fax: 770-921-6003 | |
Gwinnett Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Indian Trail Lilburn Rd Nw, Suite 100, Lilburn, GA 30047 Phone: 770-921-5100 | |
Alan C. Tucker, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 639a Beaver Ruin Rd Nw, Lilburn, GA 30047 Phone: 770-923-5200 Fax: 770-564-0613 | |
James R Williamson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Indian Trail Road, Suite 100, Lilburn, GA 30047 Phone: 770-921-5100 Fax: 770-381-9038 |