Georgia Dental Professionals, PC

NPI #1992861637 in Decatur, Georgia

Provider Information

NPI Number: 1992861637
Entity Type: Organization
Organization Name: Georgia Dental Professionals, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 28, 2006
Last Updated: Aug 29, 2018

Practice Location

Address: 755 COMMERCE DR
Address 2: SUITE 513
City: Decatur
State: Georgia
ZIP Code: 30030-2627
Phone: (404) 377-7711

Authorized Official

Name: CASSANDRA PETERSEN
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8972

Specialties & Taxonomy Codes

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

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