OrganizationActive
Gwinnett Family Dentistry LLC
NPI 1104167865 · General Practice Dentistry · Lilburn, GA
Gwinnett Family Dentistry LLC is a General Practice Dentistry organization in Lilburn, GA (NPI 1104167865).
Provider details
- NPI number
- 1104167865
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Carlos Barrionuevo, Ceo(770) 921-5100
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
504 Indian Trail Lilburn Rd Nw
Suite 100
Lilburn, GA 30047-3720
Phone: (770) 921-5100
Street-level locationGet directions
Mailing address
504 Indian Trail Lilburn Rd Nw
Lilburn, GA 30047-3720
Other names (DBA / former)
- Doing business as
- Gwinnett Family Dentistry
Registry dates
- Enumerated
- 2013-03-06
- Last updated
- 2013-03-06
Frequently asked questions
- What is Gwinnett Family Dentistry LLC's NPI number?
- Gwinnett Family Dentistry LLC's National Provider Identifier (NPI) is 1104167865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gwinnett Family Dentistry LLC?
- Gwinnett Family Dentistry LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Gwinnett Family Dentistry LLC located?
- Gwinnett Family Dentistry LLC's practice location on file with NPPES is 504 Indian Trail Lilburn Rd Nw, Lilburn, GA 30047-3720.
- What is Gwinnett Family Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Gwinnett Family Dentistry LLC is (770) 921-5100.
- Who is the authorized official for Gwinnett Family Dentistry LLC?
- The authorized official listed on Gwinnett Family Dentistry LLC's NPPES record is Carlos Barrionuevo, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gwinnett Family Dentistry LLC's NPI active?
- Yes — Gwinnett Family Dentistry LLC's NPI (1104167865) is active in the NPPES registry as of the last update on 2013-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.