Lawrenceville Family Dental Care, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAWRENCEVILLE FAMILY DENTAL CARE, P.C.

Practice address

2401 Lawrenceville Hwy Ste a
Lawrenceville, GA 30044-4411

Phone

(770) 962-1977

Fax

(770) 962-9886

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By 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. Michael S Mansouri, DMDNPI 1194862896

Title

President/Dentist

Phone

(770) 962-0014

Specialties & licenses 1

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.

• Michael S Mansouri, DMD

  • Dentist
  • Lawrenceville, GA
  • NPI 1194862896
  Authorized official Same address or phone

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1699948463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LAWRENCEVILLE HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444411",
            "telephone_number": "770-962-1977",
            "fax_number": "770-962-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LAWRENCEVILLE HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444411",
            "telephone_number": "770-962-1977",
            "fax_number": "770-962-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE FAMILY DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "MANSOURI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "770-962-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrenceville Dental Associates, PC
• Lawrenceville Dentist Office, PC (Lawrenceville Dentist Office)
• Lawrenceville Discount Pharmacy LLC (Lawrenceville Discount Pharmacy)
• Lawrenceville Eyecare LLC
• Lawrenceville Family Chiropractic
• Lawrenceville Family Dentistry
• Lawrenceville Family Practice
• Lawrenceville Foot and Ankle Specialists
• Lawrenceville Healthy Smiles LLC
• Lawrenceville Medical Supplies LLC

• Dentist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.