Fabiola Isabel Palacios-Barrionuevo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014333 Issued in GA

Practice address

3920 Shiloh Ridge Run
Suwanee, GA 30024-6015

Phone

(770) 842-4900

NPI assigned

Aug 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lifetime Dental Group LLC

  dba Gwinnett Place Dental

  • General Practice Dentistry
  • Duluth, GA
  • NPI 1922380633
  NPD (past) Authorized official

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1265712483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 SHILOH RIDGE RUN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246015",
            "telephone_number": "770-842-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 SHILOH RIDGE RUN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246015",
            "telephone_number": "770-842-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS-BARRIONUEVO",
        "first_name": "FABIOLA",
        "middle_name": "ISABEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kradan Ostby, O.T.
• Lynn Overton
• Ginika Ozor, PHARM D, BSN-RN
• Pain Management and Rehabilitation Inc. (My Pain Clinic)
• Pak Counseling LLC
• Palladium Hospice and Palliative Care, LLC
• Kathryn Ann Palmer, LPC
• Sirui Pan
• Alixzandria Panaretos, RBT
• Deepika Pandit

• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, 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 Aug 18, 2011; 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.