P Praxis·MD
● Active Type 2 · Organization

Fabulous Smiles Of Lilburn

Point of Service·Lilburn, GA· NPI 1205211133 · Enumerated 2015 · 10 years on NPI
Fabulous Smiles Of Lilburn is 1 of 117 point of service organizations in Georgia.
NPI age
10 years
Enumerated 2015-07-21
Primary specialty
Point of Service
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rolls
Office Manager
Last NPPES update
2015-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 117 active point of service providers in Georgia.

NPI age
10 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
331 Arcado Rd Nw
Lilburn, GA 300473077
📞 7705570788fax 4044202951
Mailing address
331 Arcado Rd Nw
Lilburn, GA 300473077
📞 7705570788fax 4044202951

Authorized official

Nikki Rolls
Office Manager
📞 7705570788

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Point of Service Primary
    This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
    GA license #DN011973 taxonomy 305S00000X

Practice context

Multi-provider organization. 1 individual provider 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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