Organization · Type 2 NPI

Fabulous Dentistry and Orthodontic PC

Orthodontics and Dentofacial Orthopedics Dentistry · Lilburn, GA

NPI number 1508038076 Active

Practice location

950 Indian Trl Rd NW, Suite 3-G
Lilburn, GA 30047-1721

Fax (678) 325-3971

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed
Oral and Maxillofacial Surgery Clinic/Center 261QS0112XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1508038076

Fabulous Dentistry and Orthodontic PC's National Provider Identifier is 1508038076, issued on Mar 25, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lilburn, GA. The record was last updated on Feb 12, 2024.