Lawrenceville Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0011999 Issued in GA

Legal business name

LAWRENCEVILLE DENTAL ASSOCIATES, PC

Practice address

171 Gwinnett Drive, Suite C
Lawrenceville, GA 30046

Phone

(770) 913-1941

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Kennethe Tralongo, DDS

Title

Owner

Phone

(404) 537-5211

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Kenneth Tralongo, DDS

  • General Practice Dentistry
  • Lawrenceville, GA
  • NPI 1033258868
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1467634741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PEACHTREE STREET, NE",
            "address_2": "SUITE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-537-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 GWINNETT DRIVE, SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "770-913-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "TRALONGO",
        "authorized_official_first_name": "KENNETHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-537-5211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "0011999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033258868",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750585147",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891904538",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265634638",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian C Lawrence, PAAA
• Christopher Steven Lawrence, MT
• Toni Lawrence, PTA
• Lawrenceville Center for Pain and Spine, LLC
• Lawrenceville Community Pharmacy, Inc
• Lawrenceville Dentist Office, PC
• Lawrenceville Discount Pharmacy LLC
• Lawrenceville Eyecare LLC
• Lawrenceville Family Chiropractic
• Lawrenceville Family Dental Care, P.C.

• General Practice Dentistry in Lawrenceville, GA
• Providers in Lawrenceville, 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 Dec 29, 2017; 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.