Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Center of Cosmetic Dentistry & Implantology PC

Organization General Practice Dentistry · NPI 1639182306

Advanced Center of Cosmetic Dentistry & Implantology PC provides General Practice Dentistry in Lilburn, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2006.

Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

449 Pleasant Hill Rd Ste 101
Lilburn, GA 30047
Phone: (770) 564-9906
Fax: (770) 564-9907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN01162 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN14123 (FL)

Record details

NPI number1639182306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randolph Gardner — General Dentist · (770) 564-9906
NPI enumeratedAugust 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address449 Pleasant Hill Rd, Suite 101, Lilburn, GA 30047

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