Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Johns Creek Dental Excellence
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
2880 OLD ALABAMA RD, JOHNS CREEK, GA 30022-5031
(770) 663-0333
Mailing address
2880 OLD ALABAMA RD, JOHNS CREEK, GA 30022-5031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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