Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Dental Management Inc

Organization Dental Clinic/Center · NPI 1699588178

Elite Dental Management Inc is a Dental Clinic/Center in Lawrenceville, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 Riverside Pkwy Ste 130
Lawrenceville, GA 30043-5914
Phone: (770) 822-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1699588178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chin Park — Dentist/Owner · (770) 879-1200
Other names Riverside Family Dental
NPI enumeratedJanuary 29, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address2100 Riverside Pkwy Ste 130, Lawrenceville, GA 30043-5914

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