Georgia Dental Professionals, PC

NPI #1023598422 in Mcdonough, Georgia

Provider Information

NPI Number: 1023598422
Entity Type: Organization
Organization Name: Georgia Dental Professionals, PC
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA DENTAL PROFESSIONALS, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 16, 2018
Last Updated: Aug 16, 2018

Practice Location

Address: 2140 HIGHWAY 20 W
City: Mcdonough
State: Georgia
ZIP Code: 30253-7205
Phone: (470) 419-2107

Authorized Official

Name: JESSICA BRITT
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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