Advanced Center of Cosmetic Dentistry & Implantology PC
NPI 1639182306ActiveOrganization· Dentist, General Practice· Lilburn, GA
Dentist, General Practice in Lilburn, Georgia, registered in NPPES in August 2006. The authorized official on file is Randolph Paul Gardner, DMD, General Dentist.
Overview
| NPI | 1639182306 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN01162 | GA |
| Dentist, General Practice | 1223G0001X | DN14123 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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