Georgia Dental Group of Ga LLC

NPI #1437979572 in Cornelia, Georgia

Provider Information

NPI Number: 1437979572
Entity Type: Organization
Organization Name: Georgia Dental Group of Ga LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2024
Last Updated: Jan 20, 2025

Practice Location

Address: 679 BALDWIN RD
City: Cornelia
State: Georgia
ZIP Code: 30531-5768
Phone: (706) 778-7147

Authorized Official

Name: NICOLE CARIDE
Title: CREDENTIALING MANAGER
Phone: (727) 784-2721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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