Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fabulous Dentistry and Orthodontic PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1508038076

Fabulous Dentistry and Orthodontic PC provides Orthodontics and Dentofacial Orthopedics Dentistry in Lilburn, Georgia. Registered with an NPI since 2008.

In the registry since
2008
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

950 Indian Trl Rd NW Ste 3-G
Lilburn, GA 30047-1721
Phone: (678) 325-3970
Fax: (678) 325-3971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1508038076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Solano — President · (678) 325-3970
NPI enumeratedMarch 25, 2008
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address950 Indian Trl Rd Nw, Suite 3-G, Lilburn, GA 30047-1721

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