Organization Active NPI

Lilburn Dental Studio

  • General Practice Dentistry
  • Lilburn, GA
National Provider Identifier
1205790300
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LILBURN DENTAL STUDIO
Practice address
4051 Stone Mountain Hwy Ste F101
Lilburn, GA 30047-3364
Phone
(678) 691-9064
NPI assigned
Dec 12, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Dr. Brandon Lynch, DDSNPI 1184299984
Title
Owner
Phone
(678) 612-1457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4051 Stone Mountain Hwy Ste F101
Lilburn, GA 30047-3364

Mailing address

4051 Stone Mountain Hwy Ste F101
Lilburn, GA 30047-3364
Phone (678) 691-9064

National Provider Directory

National Provider Directory

Locations

4051 Stone Mountain Hwy
Ste F101
Lilburn, GA 30047
Phone (678) 691-9064

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1205790300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 STONE MOUNTAIN HWY STE F101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473364",
            "telephone_number": "678-691-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 STONE MOUNTAIN HWY STE F101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473364",
            "telephone_number": "678-691-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILBURN DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-612-1457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.