Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Artistic Smiles Family & Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
1500 PEACHTREE INDUSTRIAL BLVD STE 260, SUWANEE, GA 30024-8493
(770) 476-9511
Mailing address
1500 PEACHTREE INDUSTRIAL BLVD STE 260, SUWANEE, GA 30024-8493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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