P Praxis·MD
● Active Type 2 · Organization

Gwinnett Oral & Maxillofacial Surgery, Pc

Dentist·Lawrenceville, GA· NPI 1205014578 · Enumerated 2008 · 18 years on NPI
Gwinnett Oral & Maxillofacial Surgery, Pc is 1 of 358 dentist organizations in Georgia.
NPI age
18 years
Enumerated 2008-02-08
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Zuck
President
Last NPPES update
2008-02-08
Source: monthly bulk 2026-05

How this organization compares

Across 358 active dentist providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-02Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
171 Gwinnett Dr, Suite B
Lawrenceville, GA 300455686
📞 7709957960
Mailing address
171 Gwinnett Dr, Suite B
Lawrenceville, GA 300455686
📞 7709957960

Authorized official

S Lyle Zuck, DMD, MD
President
📞 7709957960

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    GA license #DN013444 taxonomy 1223S0112X

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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