| Lawrenceville Family Dentistry | |
|
3664 Club Dr Ste 105 Lawrenceville GA 30044-2961 | |
| (770) 279-7987 | |
| (770) 279-8951 |
| Full Name | Lawrenceville Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3664 Club Dr, Lawrenceville, Georgia |
| Authorized Official Name and Position | Nayeem Bashar (PRESIDENT) |
| Authorized Official Contact | 7702797987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrenceville Family Dentistry 3664 Club Dr Ste 105 Lawrenceville GA 30044-2961 Ph: (770) 279-7987 | Lawrenceville Family Dentistry 3664 Club Dr Ste 105 Lawrenceville GA 30044-2961 Ph: (770) 279-7987 |
| NPI Number | 1003280595 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 11/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003280595 | NPI | - | NPPES |
| 740482472C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012875 (Georgia) | Primary |
Dentist In Lawrenceville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Pleasant Hill Rd Ste 807a, Lawrenceville, GA 30044 Phone: 803-233-6141 | |
Gocd Lawrenceville Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2087 Cruse Rd Ste B, Lawrenceville, GA 30044 Phone: 770-845-2424 Fax: 706-558-3909 | |
Lawrenceville Healthy Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Gordon St, Lawrenceville, GA 30046 Phone: 732-763-5843 | |
Foster Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1942 Atkinson Rd Ste 500, Lawrenceville, GA 30043 Phone: 470-508-0085 | |
Lawrenceville Dentist Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Duluth Hwy, Suite B, Lawrenceville, GA 30043 Phone: 404-431-9670 Fax: 404-410-6581 | |
Gwinnett Oral & Maxillofacial Surgery, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Gwinnett Dr, Suite B, Lawrenceville, GA 30045 Phone: 770-995-7960 |