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Fabulous Dentistry And Orthodontic Pc
Oral and Maxillofacial Surgery Clinic/Center in Lilburn, Georgia
NPI 1508038076

Fabulous Dentistry And Orthodontic Pc is a Oral and Maxillofacial Surgery Clinic/Center based in Lilburn, GA and is specialized in Oral and Maxillofacial Surgery. Fabulous Dentistry And Orthodontic Pc practices in Lilburn, GA. The NPI Number for Fabulous Dentistry And Orthodontic Pc is 1508038076 and holds a License No. (Georgia).

The current practice location address for Fabulous Dentistry And Orthodontic Pc is 950 Indian Trl Rd Nw, Lilburn, GA and can be reached out via phone at 678-325-3970 and via fax at 678-325-3971.

Location: 950 Indian Trl Rd Nw, Lilburn, GA, 30047-1721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508038076
Provider Name
Fabulous Dentistry And Orthodontic Pc
Credential
Provider Entity Type
Organization
Address
950 Indian Trl Rd Nw, Lilburn, GA, 30047-1721
Phone Number
678-325-3970
Fax Number
678-325-3971
Provider Enumeration Date
03/25/2008
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
502321377B 05 GA
institution
Provider Business Practice Location Address Details
Address
950 Indian Trl Rd Nw
City
Lilburn
State
Georgia
Zip
30047-1721
Phone Number
678-325-3970
Fax Number
678-325-3971
person
Provider Business Mailing Address Details
Address
950 Indian Trl Rd Nw
City
Lilburn
State
Georgia
Zip
30047-1721
Phone Number
678-325-3970
Fax Number
678-325-3971
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
()
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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