Organization Active NPI

Kuzhy Dental LLC

  • Dental Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1588529606
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KUZHY DENTAL LLC
Practice address
780 Scenic Hwy
Lawrenceville, GA 30046-6365
Phone
(678) 215-1300
NPI assigned
Dec 20, 2025
Last updated
Dec 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Authorized official

Name
Ron S Chemmalakuzhy, DMDNPI 1497438220
Title
Dentist
Phone
(770) 356-4342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

780 Scenic Hwy
Lawrenceville, GA 30046-6365

Mailing address

1204 Red Bud Rd NE
Calhoun, GA 30701-9294
Phone (770) 356-4342

National Provider Directory

National Provider Directory

Locations

1204 Red Bud Rd NE
Calhoun, GA 30701

780 Scenic Hwy
Lawrenceville, GA 30046
Phone (678) 215-1300

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1588529606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307019294",
            "telephone_number": "770-356-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466365",
            "telephone_number": "678-215-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUZHY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-20",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "CHEMMALAKUZHY",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-356-4342",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.