Fabulous Dentistry and Orthodontic PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FABULOUS DENTISTRY AND ORTHODONTIC PC

Practice address

950 Indian TRL Rd NW
Suite 3-G
Lilburn, GA 30047-1721

Phone

(678) 325-3970

Fax

(678) 325-3971

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Juan J Solano, D.D.S.NPI 1548337967

Title

President

Phone

(678) 325-3970

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Juan J Solano, DDS

  • Dentist
  • Lilburn, GA
  • NPI 1548337967
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1508038076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 INDIAN TRL RD NW",
            "address_2": "SUITE 3-G",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471721",
            "telephone_number": "678-325-3970",
            "fax_number": "678-325-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 INDIAN TRL RD NW",
            "address_2": "SUITE 3-G",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471721",
            "telephone_number": "678-325-3970",
            "fax_number": "678-325-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABULOUS DENTISTRY AND ORTHODONTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-325-3970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502321377B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayanna Evans
• Dinessa N Everhart
• Tiffany Naikia Expose
• Ijeoma Ezeobele, DFM, DHM
• Joy Ijeoma Ezeokonkwo
• Fabulous Smiles of Lilburn
• Face Down Ga
• Patricia Joan Facey
• Faith M. Gray, M.D., Inc.
• Faith Non Emerency Medical Transport LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.