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Gwinnett Smile Design

NPI 1710435763ActiveOrganization· Dentist, General Practice· Lawrenceville, GA

Dentist, General Practice in Lawrenceville, Georgia, registered in NPPES in September 2016. The authorized official on file is Katlynn Pittman, Office Manager.

Overview

NPI1710435763
StatusActive
Entity typeOrganization
NPI issuedSep 20, 2016
Last updated in NPPESSep 20, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XDN014749GA
Dentist122300000XDN14715GA
Dentist122300000XDN014749GA
Dental Hygienist124Q00000XDH003931GA
Dental Hygienist124Q00000XDH005357GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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