Georgia Dental Professionals, PC

NPI #1760098214 in Douglasville, Georgia

Provider Information

NPI Number
1760098214
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
Sep 21, 2020
Last Updated
Sep 21, 2020

Practice Location

Address
3000 CHAPEL HILL RD STE 104
State
Georgia
ZIP Code
30135-1841
Phone
(770) 920-0112

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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