Georgia Dental Professionals, PC

NPI #1396135216 in Pooler, Georgia

Provider Information

NPI Number: 1396135216
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: Jan 30, 2015
Last Updated: May 25, 2016

Practice Location

Address: 155 TRADER WAY
City: Pooler
State: Georgia
ZIP Code: 31322
Phone: (912) 208-5594

Authorized Official

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

Specialties & Taxonomy Codes

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

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