Northeast Georgia Dental Group

NPI #1063904076 in Braselton, Georgia

Provider Information

NPI Number: 1063904076
Entity Type: Organization
Organization Name: Northeast Georgia Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 5, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 1205 FRIENDSHIP ROAD
City: Braselton
State: Georgia
ZIP Code: 30517
Phone: (770) 532-4555

Authorized Official

Name: ANN SORENSEN
Title: DIRECTOR OF OPERATIONS
Phone: (770) 532-4555

Specialties & Taxonomy Codes

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

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