Georgia Dental Professionals, PC

NPI #1780220194 in Woodstock, Georgia

Provider Information

NPI Number: 1780220194
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: Nov 20, 2019
Last Updated: Mar 11, 2020

Practice Location

Address: 4355 TOWNE LAKE PKWY
City: Woodstock
State: Georgia
ZIP Code: 30189-8150
Phone: (678) 905-0211

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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