Georgia Dental Professionals, PC

NPI #1093578718 in Dacula, Georgia

Provider Information

NPI Number: 1093578718
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: Feb 5, 2024
Last Updated: Feb 5, 2024

Practice Location

Address: 952 HARBINS RD
Address 2: STE 401
City: Dacula
State: Georgia
ZIP Code: 30019-2824
Phone: (470) 268-3056

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING
Phone: (217) 764-8609

Specialties & Taxonomy Codes

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

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