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

Professional Dental Alliance of Lilburn, LLC

Organization General Practice Dentistry · NPI 1710544960

Professional Dental Alliance of Lilburn, LLC provides General Practice Dentistry in Lilburn, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3970 Five Forks Trickum Rd SW Ste B
Lilburn, GA 30047-2339
Phone: (770) 921-8442
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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

Record details

NPI number1710544960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Barrette — Credentialing Specialist · (724) 698-2997
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019
Mailing address11 S Mill St Ste 200, New Castle, PA 16101-3680

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