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GEORGIA DENTAL PROFESSIONALS PC NPI 1396135216


NPI Information

NPI: 1396135216
Provider Name: GEORGIA DENTAL PROFESSIONALS, PC

Doing Business As: POOLER PARKWAY DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
155 TRADER WAY
POOLER, GA
ZIP 31322
Phone: (912) 208-5594
Get Directions

GEORGIA DENTAL PROFESSIONALS, PC is a general practice dentist in Pooler, 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 1396135216. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pooler Parkway Dental Care.

The provider's business location address is:

155 TRADER WAY
POOLER, GA
ZIP 31322
Phone: (912) 208-5594

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 1/30/2015 and was last updated on 5/25/2016.


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 PracticeDN012289GEORGIAYes

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: 5/5/2024

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