Dental Professionals of Georgia, P.c.

NPI #1235674227 in Lagrange, Georgia

Provider Information

NPI Number
1235674227
Entity Type
Organization
Organization Name
Dental Professionals of Georgia, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 29, 2016
Last Updated
Dec 29, 2016

Practice Location

Address
116 CALUMET CENTER RD
State
Georgia
ZIP Code
30241-6703
Phone
(706) 882-2937

Authorized Official

Name
CASSANDRA TEUTSCH
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8972

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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