OrganizationActive
Elite Dental Management Inc
NPI 1699588178 · Dental Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1699588178
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chin Park, Dentist/Owner(770) 879-1200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2100 Riverside Pkwy Ste 130
Lawrenceville, GA 30043-5914
Phone: (770) 822-3400
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Riverside Pkwy Ste 130
Lawrenceville, GA 30043-5914
Other names (DBA / former)
- Doing business as
- Riverside Family Dental
Registry dates
- Enumerated
- 2025-01-29
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.