Georgia Dental Professionals, PC

NPI #1710546148 in Canton, Georgia

Provider Information

NPI Number: 1710546148
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: Jun 10, 2019
Last Updated: Aug 15, 2019

Practice Location

Address: 8022 CUMMING HWY
City: Canton
State: Georgia
ZIP Code: 30115-9337
Phone: (470) 863-2755

Authorized Official

Name: JESSICA BRITT
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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