Georgia Dental Outreach PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GEORGIA DENTAL OUTREACH PC

Doing business as

Help A Child Smile

Practice address

1816 Lakefield CT SE Ste a
Conyers, GA 30013-6609

Phone

(888) 833-8441

Fax

(888) 373-9612

NPI assigned

Jan 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Spurgeon

Title

Credentialing

Phone

(888) 833-8441

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Help A Child Smile Doing business as

Tax ID family

Georgia Dental Outreach PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mark Shurett DDS PC

  • Clinic/Center
  • Conyers, GA
  • NPI 1558535393
  NPD tax ID
• Mark Shurett DDS PC

  • Clinic/Center
  • Conyers, GA
  • NPI 1831363670
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1679551790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 LAKEFIELD CT SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136609",
            "telephone_number": "888-833-8441",
            "fax_number": "888-373-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 LAKEFIELD CT SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136609",
            "telephone_number": "888-833-8441",
            "fax_number": "888-373-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DENTAL OUTREACH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "SPURGEON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "888-833-8441"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031658A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Help A Child Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Conyers, GA
• Providers in Conyers, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.