Georgia Dental Professionals, PC

NPI #1962098210 in Tyrone, Georgia

Provider Information

NPI Number
1962098210
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
Dec 21, 2020
Last Updated
Dec 21, 2020

Practice Location

Address
1522 HIGHWAY 74 N
City
Tyrone
State
Georgia
ZIP Code
30290-1663
Phone
(678) 788-8050

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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