NPIMap

Georgia Dental Professionals, PC

Organization Active NPI General Practice Dentistry · Bonaire, GA

NPI 1972165207 · NPPES record last updated Aug 8, 2019

Key facts

NPI
1972165207
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Practice address
516 Ga Highway 247 S
Bonaire, GA 31005-3865
Phone
(478) 273-2562
Fax
(478) 551-4152
NPI assigned
Jul 8, 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) 15

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

516 GA Highway 247 S
Bonaire, GA 31005
Phone (478) 273-2562

104 S Houston Rd
Warner Robins, GA 31088
Phone (478) 922-2910

Specialties & licenses

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

Addresses

Primary practice location

516 Ga Highway 247 S
Bonaire, GA 31005-3865

Mailing address

516 Ga Highway 247 S
Bonaire, GA 31005-3865

Other names

  • Dental Care of Bonaire Doing business as

Other providers in Bonaire, GA

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

Sources for this page

Verify at the official NPI Registry.