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GEORGIA DENTAL PROFESSIONALS PC NPI 1992861637


NPI Information

NPI: 1992861637
Provider Name: GEORGIA DENTAL PROFESSIONALS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
755 COMMERCE DR
SUITE 513
DECATUR, GA
ZIP 30030
Phone: (404) 377-7711
Get Directions

GEORGIA DENTAL PROFESSIONALS, PC is a general practice dentist in Decatur, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GEORGIA DENTAL PROFESSIONALS, PC NPI is 1992861637. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

755 COMMERCE DR
SUITE 513
DECATUR, GA
ZIP 30030-627
Phone: (404) 377-7711
Fax: (404) 377-6040

The provider's authorized official is Cassandra Petersen .
The authorized official title is Credentialing Team Lead and has the following contact phone number (217) 540-8972.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/29/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7624GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11922164672OTHERGEORGIADR. THOMAS J. PRICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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