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

Mall of Georgia Dentistry

Organization General Practice Dentistry · NPI 1871943662

Mall of Georgia Dentistry is a General Practice Dentistry in Buford, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1905 Mall Of Georgia Blvd Ste 1
Buford, GA 30519
Phone: (678) 714-6343
Fax: (678) 714-6345
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 012441 (GA)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 012441 (GA)

Record details

NPI number1871943662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Vancil — Office Manager · (678) 714-6343
NPI enumeratedJune 13, 2016
Last updated in NPPESMay 2, 2018
Mailing address1905 Mall Of Georgia Blvd Ste 1, Buford, GA 30519

Other providers in Buford