Georgia Dental Professionals, PC

NPI #1427502202 in Alpharetta, Georgia

Provider Information

NPI Number
1427502202
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
Aug 9, 2016
Last Updated
Aug 9, 2016

Practice Location

Address
11925 JONES BRIDGE RD STE 200
State
Georgia
ZIP Code
30005-5076
Phone
(770) 772-0606

Authorized Official

Name
HEATHER PRUEMER
Title
CREDENTIALING TEAM LEAD
Phone
(217) 540-8434

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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