GEORGIA DENTAL PROFESSIONALS PC NPI 1548158447

NPI Information

  • NPI: 1548158447
  • Provider Name: GEORGIA DENTAL PROFESSIONALS, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 11D2285461
  • Address: 1046 BRASELTON VILLAGE PKWY
    BRASELTON, GA
    ZIP 30517
  • Phone: (706) 471-1975

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NPI Details

GEORGIA DENTAL PROFESSIONALS, PC is a general practice dentist in Braselton, 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 1548158447. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1046 BRASELTON VILLAGE PKWY
BRASELTON, GA
ZIP 30517-643
Phone: (706) 471-1975
Fax: (706) 471-0328

The provider's authorized official is Hillary Thull .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-8946.

The CLIA number assigned to this NPI record is 11D2285461 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/27/2025 and was last updated on 6/27/2025.

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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