NPI age
1 years
Enumerated 2025-01-29
● Active Type 2 · Organization
Elite Dental Management Inc
Elite Dental Management Inc is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Park
Dentist/owner
Last NPPES update
2025-06-18
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
1 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2100 Riverside Pkwy Ste 130
Lawrenceville, GA 300435914
Mailing address
2100 Riverside Pkwy Ste 130
Lawrenceville, GA 300435914
Authorized official
Chin Park, DMD
Dentist/owner
📞 7708791200
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Riverside Family Dental
Practice context
Single-site organization. Only one practice location on file.
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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.