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

Gangwisch Dental Group, LLC

Organization Dentist · NPI 1588849186

Gangwisch Dental Group, LLC is a Dentist in Lilburn, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

912 Killian Hill Rd SW Ste 100
Lilburn, GA 30047-3138
Phone: (770) 923-3966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN008859 (GA)

Record details

NPI number1588849186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Gangwisch — Member · (770) 923-3966
NPI enumeratedJanuary 2, 2008
Last updated in NPPESJanuary 2, 2008
Mailing address912 Killian Hill Rd Sw, Suite 100, Lilburn, GA 30047-3138

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