Active NPI
Lemoine Troi Dillon, DMD
- General Practice Dentistry
- Douglasville, GA
National Provider Identifier
1205607074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN124013
- Practice address
- 9579 Ga-5 Suite 701
Douglasville, GA 30135 - Phone
- (770) 746-8683
- NPI assigned
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13907 | NC | |
| General Practice Dentistry | 1223G0001X | 0401419239 | VA | |
| General Practice Dentistry | 1223G0001X | DN124013 | GA | Primary |
Addresses
Primary practice location
9579 Ga-5 Suite 701
Douglasville, GA 30135
Mailing address
1301 Spring St NW Unit 1509
Atlanta, GA 30309-2882
Phone (678) 691-9064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN124013 | GA | MD | General Practice Dentistry |
| 0401419239 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilburn Dental Studio | General Practice | Current | Accepting new patients |
| Art of Dentistry | Current | Accepting new patients | |
| Zachary P. Hairston, D.D.S., P.C | General Practice | Past | Accepting new patients |
Locations
4051 Stone Mountain Hwy
Ste F101
Lilburn, GA 30047
Phone (678) 691-9064
190 Watson St
Danville, VA 24541
Phone (434) 792-0700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Lilburn, GA
- NPI 1205790300
-
- Dental Clinic/Center
- Danville, VA
- NPI 1275315590
-
- General Practice Dentistry
- Danville, VA
- NPI 1841462082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1205607074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SPRING ST NW UNIT 1509",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092882",
"telephone_number": "678-691-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9579 GA-5 SUITE 701",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "30135",
"telephone_number": "770-746-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "LEMOINE",
"middle_name": "TROI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "13907",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401419239",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN124013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.