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Georgia Dental Professionals, PC

Organization Active NPI General Practice Dentistry · Woodstock, GA

NPI 1780220194 · NPPES record last updated Mar 11, 2020

Key facts

NPI
1780220194
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Practice address
4355 Towne Lake Pkwy
Woodstock, GA 30189-8150
Phone
(678) 905-0211
NPI assigned
Nov 20, 2019
Organization subpart
Yes
Parent organization (as reported)
GEORGIA DENTAL PROFESSIONALS, PC

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-5100

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.

National Provider Directory

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

Locations

4355 Towne Lake Pkwy
Woodstock, GA 30189
Phone (678) 905-0211

Specialties & licenses

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

Addresses

Primary practice location

4355 Towne Lake Pkwy
Woodstock, GA 30189-8150

Mailing address

4355 Towne Lake Pkwy
Woodstock, GA 30189-8150
Phone (770) 627-0319

Other names

  • Dental Care at Rose Creek Doing business as

Other providers in Woodstock, GA

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

Sources for this page

Verify at the official NPI Registry.