Organization
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Other names
Calumet Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Authorized official
CASSANDRA TEUTSCH (CREDENTIALING COORDINATOR)
(217) 540-8972
Entity
Organization
Contact information
Practice address
116 CALUMET CENTER RD, LAGRANGE, GA 30241-6703
(706) 882-2937
Mailing address
116 CALUMET CENTER RD, LAGRANGE, GA 30241-6703
(706) 882-2937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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