NPI age
19 years
Enumerated 2006-10-20
● Active Type 2 · Organization
Lilburn Dental Group, L.l.c.
Lilburn Dental Group, L.l.c. is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gangwisch
Member
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
912 Killian Hill Rd Sw, Suite 100
Lilburn, GA 300473138
Mailing address
912 Killian Hill Rd Sw, Suite 100
Lilburn, GA 300473138
Authorized official
Richard Gangwisch, D.D.S.
Member
📞 7709233966
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Michole Allen, LCSW Social Worker NPI 1669861357
- Marcia Bassett, M.ED. CCC-SLP Speech-Language Pathologist NPI 1699852921
- Richard Gangwisch, D.D.S. Dentist NPI 1255355145
- Catharine Judd, M.S., CCC-SLP Speech-Language Pathologist NPI 1962563197
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.