Georgia Dental Professionals, PC
NPI #1932851425 in Loganville, Georgia
Provider Information
- NPI Number
- 1932851425
- 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
- Jan 25, 2022
- Last Updated
- Jan 25, 2022
Practice Location
- Address
- 3805 HARRISON RD
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2462
- Phone
- (770) 554-0848
Authorized Official
- Name
- HILLARY THULL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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