Individual provider Active NPI

Lemoine Troi Dillon, DMD

  • General Practice Dentistry
  • Douglasville, GA
National Provider Identifier
1205607074
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN124013 Issued in GA
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

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN124013GAMDGeneral Practice Dentistry
0401419239VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lilburn Dental Studio General Practice CurrentSince Dec 14, 2025 Accepting new patients
Art of Dentistry CurrentSince Mar 20, 2025 Accepting new patients
Zachary P. Hairston, D.D.S., P.C General Practice PastSince Mar 20, 2025 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.

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.

Verify at the official NPI Registry.