Georgia Dental Professionals, PC

NPI #1053045278 in Suwanee, Georgia

Provider Information

NPI Number: 1053045278
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: Jul 13, 2022
Last Updated: Jul 13, 2022

Practice Location

Address: 1500 PEACHTREE INDUSTRIAL BLVD STE 260
City: Suwanee
State: Georgia
ZIP Code: 30024-8493
Phone: (770) 476-9511

Authorized Official

Name: COURTNEY MONTEITH
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8306

Specialties & Taxonomy Codes

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

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