# GEORGIA DENTAL PROFESSIONALS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGIA DENTAL PROFESSIONALS, PC
- **Other names:** Dental Care at Lake Dow
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588589105
- **Legal business name:** GEORGIA DENTAL PROFESSIONALS, PC
- **Authorized official:** CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 764-8609

## Contact information

- **Practice address:** 841 HIGHWAY 81 E, MCDONOUGH, GA 30252-2982
- **Practice address phone:** (470) 264-2750
- **Mailing address:** 841 HIGHWAY 81 E, MCDONOUGH, GA 30252-2982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2026
- **Last updated:** 08/12/2026