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

Mall of Georgia Dentistry

Organization General Practice Dentistry · NPI 1871943662

Mall of Georgia Dentistry provides General Practice Dentistry in Buford, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1905 Mall Of Georgia Blvd Ste 1
Buford, GA 30519
Phone: (678) 714-6343
Fax: (678) 714-6345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 012441 (GA)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 012441 (GA)

Record details

NPI number1871943662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Vancil — Office Manager · (678) 714-6343
NPI enumeratedJune 13, 2016
Last updated in NPPESMay 2, 2018
Mailing address1905 Mall Of Georgia Blvd Ste 1, Buford, GA 30519

Other providers in Buford