Gwinnett Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GWINNETT FAMILY DENTISTRY LLC

Practice address

504 Indian Trail Lilburn Rd NW
Suite 100
Lilburn, GA 30047-3720

Phone

(770) 921-5100

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Carlos Fernando Barrionuevo

Title

Ceo

Phone

(770) 921-5100

Specialties & licenses 1

Addresses

Other names 1

• Gwinnett Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1104167865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 INDIAN TRAIL LILBURN RD NW",
            "address_2": "SUITE 100",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473720",
            "telephone_number": "770-921-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 INDIAN TRAIL LILBURN RD NW",
            "address_2": "SUITE 100",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473720",
            "telephone_number": "770-921-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "BARRIONUEVO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-921-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gwinnett Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shivane K Gupta, MD
• Isabel Guzman-Gomez
• Gwinn Orthodontics, LLC
• Gwinnett Clinic, LTD
• Gwinnett County Health Dept
• Gwinnett General Dentistry
• Gwinnett Holistic Psychiatry, LLC
• Gwinnett Orthodontics
• Gwinnett Pediatric Partners, Inc
• Kiersten Freeman Gyorke, LMFT

• General Practice Dentistry in Lilburn, GA
• Providers in Lilburn, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.