Georgia Dental Professionals, PC

NPI #1932351731 in Suwanee, Georgia

Provider Information

NPI Number: 1932351731
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: Oct 13, 2008
Last Updated: Apr 3, 2017

Practice Location

Address: 3320 LAWRENCEVILLE SUWANEE RD
Address 2: SUITE 2F
City: Suwanee
State: Georgia
ZIP Code: 30024-6542
Phone: (678) 546-4000

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING SUPERVISOR
Phone: (217) 540-8312

Specialties & Taxonomy Codes

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

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