| Gwinnett Dental Implant Center | |
|
320 Killian Hill Rd Nw Lilburn GA 30047-3809 | |
| (770) 921-3555 | |
| (770) 564-2244 |
| Full Name | Gwinnett Dental Implant Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 320 Killian Hill Rd Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Milton Forest Butler (OWNER) |
| Authorized Official Contact | 7709213555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Dental Implant Center 320 Killian Hill Rd Nw Lilburn GA 30047-3809 Ph: (770) 921-3555 | Gwinnett Dental Implant Center 320 Killian Hill Rd Nw Lilburn GA 30047-3809 Ph: (770) 921-3555 |
| NPI Number | 1679977656 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679977656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 7999 (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 | |
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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 | |
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