OrganizationActive
Advanced Center of Cosmetic Dentistry & Implantology PC
NPI 1639182306 · General Practice Dentistry · Lilburn, GA
Provider details
- NPI number
- 1639182306
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Randolph Gardner, General Dentist(770) 564-9906
- License
- DN14123 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
449 Pleasant Hill Rd
Suite 101
Lilburn, GA 30047
Phone: (770) 564-9906
Fax: (770) 564-9907
Street-level locationGet directions
Mailing address
449 Pleasant Hill Rd
Lilburn, GA 30047
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.