Organization
LANIER ORTHODONTICS PA
Active
Organization
LANIER ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYM MADDOX (CORPORATE SECRETARY)
(770) 532-8104
Entity
Organization
Contact information
Practice address
1215 SHERWOOD PARK DR NE, GAINESVILLE, GA 30501-3444
(770) 532-4156
(770) 536-1529
Mailing address
1215 SHERWOOD PARK DR NE, GAINESVILLE, GA 30501-3444
(770) 532-4156
(770) 536-1529
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN011067
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN011899
GA
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up