Advance Family Dental Care Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN01162 Issued in GA

Legal business name

ADVANCE FAMILY DENTAL CARE INC

Practice address

449 Pleasant Hill Rd
Suite 101
Lilburn, GA 30047

Phone

(770) 564-9906

Fax

(770) 564-9907

NPI assigned

Sep 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Paul Gardner, DMDNPI 1831353606

Title

Dentist

Phone

(770) 564-9906

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Randolph Paul Gardner, DMD

  • Dentist
  • Lilburn, GA
  • NPI 1831353606
  Authorized official Same address or phone

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497857411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 PLEASANT HILL RD",
            "address_2": "SUITE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "770-564-9906",
            "fax_number": "770-564-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 PLEASANT HILL RD",
            "address_2": "SUITE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "770-564-9906",
            "fax_number": "770-564-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE FAMILY DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-564-9906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN01162",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Acosta
• Active Life Health of Lilburn LLC (Arthritis Knee Pain Centers)
• Active Life Health of Lilburn LLC (Arthritis Knee Pain Centers)
• Deborah Mae Adams, MA, CPC, PCCT
• Afua Dufie Addo Vanderpuije, MD
• Advanced Center of Cosmetic Dentistry & Implantology PC
• Affordable Dental Care , LLC
• Affordable Dental Solutions,LLC (Randeep Singh Bhullar,DDS)
• Maloa Chu Affuembey, M.D.
• Jenna Ahdaya, HIS

• General Practice Dentistry in Lilburn, GA
• Providers in Lilburn, 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 22, 2020; 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.