Georgia Dental Professionals, PC
NPI #1568225530 in Loganville, Georgia
Provider Information
- NPI Number
- 1568225530
- 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
- Feb 2, 2024
- Last Updated
- Feb 2, 2024
Practice Location
- Address
- 2785 LOGANVILLE HWY
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-5082
- Phone
- (770) 901-2145
Authorized Official
- Name
- CEMYIRA MCDOUGAL
- Title
- CREDENTIALING
- Phone
- (217) 764-8609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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