Georgia Dental Professionals, PC

NPI #1083978555 in Suwanee, Georgia

Provider Information

NPI Number: 1083978555
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: Jun 29, 2012
Last Updated: Nov 7, 2016

Practice Location

Address: 4355 SUWANEE DAM RD
City: Suwanee
State: Georgia
ZIP Code: 30024-6707
Phone: (770) 614-7300

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8312

Specialties & Taxonomy Codes

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

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