Lawrenceville Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DN012875 Issued in GA

Legal business name

LAWRENCEVILLE FAMILY DENTISTRY

Practice address

3664 Club Dr
Ste 105
Lawrenceville, GA 30044-2961

Phone

(770) 279-7987

Fax

(770) 279-8951

NPI assigned

Nov 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nayeem Bashar, DDSNPI 1639275597

Title

President

Phone

(770) 279-7987

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nayeem Z. Bashar, D.D.S.

  • Dentist
  • Lawrenceville, GA
  • NPI 1639275597
  NPD (past) Authorized official
• Kyle T Sanders, DDS

  • Pediatric Dentistry
  • Lawrenceville, GA
  • NPI 1598735730
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1003280595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 CLUB DR",
            "address_2": "STE 105",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442961",
            "telephone_number": "770-279-7987",
            "fax_number": "770-279-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 CLUB DR",
            "address_2": "STE 105",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442961",
            "telephone_number": "770-279-7987",
            "fax_number": "770-279-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BASHAR",
        "authorized_official_first_name": "NAYEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-279-7987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN012875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740482472C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrenceville Dentist Office, PC
• Lawrenceville Discount Pharmacy LLC
• Lawrenceville Eyecare LLC
• Lawrenceville Family Chiropractic
• Lawrenceville Family Dental Care, P.C.
• Lawrenceville Family Practice
• Lawrenceville Foot and Ankle Specialists
• Lawrenceville Healthy Smiles LLC
• Lawrenceville Medical Supplies LLC
• Lawrenceville Pediatric Dentistry

• Dentist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.