NPI 1972200509 · live from the CMS NPI Registry
Balance Advanced Dentistry & Orthodontics Gwinnett LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Duluth, GA. National Provider Identifier 1972200509, active.
NPI record
| NPI | 1972200509 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3705 Old Norcross Rd Ste 300, Duluth, GA 30096 |
| Practice phone | 770-813-0777 |
| Enumerated | February 14, 2023 |
| Last updated | September 24, 2025 |
| Authorized official | Juan Hernandez, Owner |
| Other names | Smilebliss By Balance Advanced Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.