Dental Professionals of Georgia, P.c.

NPI #1578180436 in Thomaston, Georgia

Provider Information

NPI Number: 1578180436
Entity Type: Organization
Organization Name: Dental Professionals of Georgia, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF GEORGIA, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 26, 2020
Last Updated: Jun 26, 2020

Practice Location

Address: 316 W MAIN ST
City: Thomaston
State: Georgia
ZIP Code: 30286-3558
Phone: (706) 647-5575

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

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

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