Northeast Georgia Dental Professionals, LLC

NPI #1093283715 in Dacula, Georgia

Provider Information

NPI Number: 1093283715
Entity Type: Organization
Organization Name: Northeast Georgia Dental Professionals, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 12, 2018
Last Updated: Nov 12, 2018

Practice Location

Address: 2700 BRASELTON HWY STE 12
City: Dacula
State: Georgia
ZIP Code: 30019-3263
Phone: (770) 932-4240

Authorized Official

Name: ERIC JONES, DMD
Title: CEO
Phone: (770) 932-4240

Specialties & Taxonomy Codes

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

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