Georgia Dental Professionals, PC

NPI #1417422007 in Woodstock, Georgia

Provider Information

NPI Number: 1417422007
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: Oct 10, 2018
Last Updated: Jan 24, 2019

Practice Location

Address: 6759 HICKORY RD
City: Woodstock
State: Georgia
ZIP Code: 30188-2019
Phone: (470) 863-2391

Authorized Official

Name: JESSICA BRITT
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8426

Specialties & Taxonomy Codes

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

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