Gwinnett Dental Care Lawrenceville LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GWINNETT DENTAL CARE LAWRENCEVILLE LLC

Doing business as

Gwinnett Dental Care

Practice address

911 Duluth Hwy Ste E2
Lawrenceville, GA 30043-5399

Phone

(678) 520-7534

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Long Phung, DMDNPI 1982088407

Title

Owner Dentist

Phone

(678) 520-7534

Specialties & licenses 1

Addresses

Other names 1

• Gwinnett Dental Care Doing business as

Locations

Practitioners 1

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

• Long K Phung, DMD

  • Dentist
  • Lawrenceville, GA
  • NPI 1982088407
  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1235875295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PAPER WOODS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465366",
            "telephone_number": "678-520-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 DULUTH HWY STE E2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435399",
            "telephone_number": "678-520-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT DENTAL CARE LAWRENCEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "LONG",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "678-520-7534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gwinnett Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwinnett Consultants in Cardiology
• Gwinnett County Board of Commissioners (Gwinnet County Fire & Emergency Services)
• Gwinnett County Health Department
• Gwinnett County Health Department (Gwinnett County Public Health Services)
• Gwinnett County Health Department (Gwinnett County Board of Health)
• Gwinnett Denture Center PC
• Gwinnett Digestive Clinic, PC
• Gwinnett Drugs LLC
• Gwinnett Drugs LLC
• Gwinnett Emergency Specialists Observation Services, LLC

• Dental Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.