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

Gwinnett Oral & Maxillofacial Surgery, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1205014578

Gwinnett Oral & Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery (Dentist) in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

171 Gwinnett Dr Ste B
Lawrenceville, GA 30045-5686
Phone: (770) 995-7960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN013444 (GA)

Record details

NPI number1205014578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official S Zuck — President · (770) 995-7960
NPI enumeratedFebruary 8, 2008
Last updated in NPPESFebruary 8, 2008
Mailing address171 Gwinnett Dr, Suite B, Lawrenceville, GA 30045-5686

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