GEORGIA DENTAL PROFESSIONALS PC NPI 1144691684

NPI Information

  • NPI: 1144691684
  • Provider Name: GEORGIA DENTAL PROFESSIONALS, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: AUSTELL FAMILY DENTAL CARE
  • Address: 780 EAST WEST CONNECTOR SW
    SUITE 108
    AUSTELL, GA
    ZIP 30106
  • Phone: (678) 271-3706

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NPI Details

GEORGIA DENTAL PROFESSIONALS, PC is a general practice dentist in Austell, 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 1144691684. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Austell Family Dental Care.

The provider's business location address is:

780 EAST WEST CONNECTOR SW
SUITE 108
AUSTELL, GA
ZIP 30106
Phone: (678) 271-3706

The provider's authorized official is Kendra Walker .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-8312.

The enumeration date for this NPI number is 10/9/2015 and was last updated on 10/9/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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