Individual provider · Type 1 NPI

Richard Peter Gangwisch, DDS

General Practice Dentistry · Lilburn, GA

NPI number 1255355145 Active

Practice location

912 Killian Hill Rd SW, Suite 100
Lilburn, GA 30047-3138

Fax (770) 564-8617

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN008859 (GA)
General Practice Dentistry 1223G0001X30-015431 (OH)

General Practice Dentistry: A 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.

6 other providers at this address

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About NPI 1255355145

Richard Peter Gangwisch, DDS's National Provider Identifier is 1255355145, issued on Jul 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lilburn, GA. The record was last updated on Jul 8, 2007.