Garhado Enter Prises LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GARHADO ENTER PRISES LLC

Practice address

449 Pleasant Hill Rd
Suite 101
Lilburn, GA 30047

Phone

(770) 564-9906

Fax

(770) 564-9907

NPI assigned

Aug 14, 2006

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, DMD

Title

Dentist

Phone

(678) 458-9906

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922011600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 RISING MOON TRAIL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "770-982-9129",
            "fax_number": "770-564-9906"
        },
        {
            "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": "GARHADO ENTER PRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "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": "678-458-9906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gamedical Associates,Inc
• Gangwisch Dental Group, L.L.C.
• Richard Peter Gangwisch, D.D.S.
• Rita Garcia Cabrera, M.S., BCBA
• Randolph Paul Gardner, DMD
• Sherocko Rieshell Gatling-James, FNP
• Andrea Roche Gayden, ANP-BC
• Tiarra Pecolia Geddie, RBT
• Eshetu Geme
• Genesis Diagnostics LLC

• 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.