Georgia Dental Professionals, PC
NPI #1992479893 in Stonecrest, Georgia
Provider Information
- NPI Number
- 1992479893
- 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
- Aug 4, 2021
- Last Updated
- Aug 4, 2021
Practice Location
- Address
- 2998 PANOLA RD
- City
- Stonecrest
- State
- Georgia
- ZIP Code
- 30038-2394
- Phone
- (043) 228-0404
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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