NPIMap

Georgia Dental Professionals, PC

Organization Active NPI General Practice Dentistry · Evans, GA

NPI 1679167290 · NPPES record last updated Feb 24, 2021

Key facts

NPI
1679167290
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Practice address
545 Mullins Colony Dr
Evans, GA 30809-0559
Phone
(706) 842-2215
NPI assigned
Feb 24, 2021
Organization subpart
Yes
Parent organization (as reported)
GEORGIA DENTAL PROFESSIONALS, PC

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Georgia Dental Professionals PC (72 organizations share this tax ID)
Part of
Georgia Dental Professionals PC

Locations

545 Mullins Colony Dr
Evans, GA 30809
Phone (706) 842-2215

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

545 Mullins Colony Dr
Evans, GA 30809-0559

Mailing address

545 Mullins Colony Dr
Evans, GA 30809-0559
Phone (706) 842-2215

Other names

  • Dental Care at Mullins Colony Doing business as

Other providers in Evans, GA

All providers in Evans, GA · General Practice Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.