Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Hickory Commons Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
6759 HICKORY RD, WOODSTOCK, GA 30188-2019
(470) 863-2391
Mailing address
6759 HICKORY RD, WOODSTOCK, GA 30188-2019
(678) 540-1680
(678) 401-3401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
01/24/2019
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