Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Sharpsburg Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
100 FISCHER MARKETPLACE LN STE 100, SHARPSBURG, GA 30277-3680
(470) 347-1079
(470) 347-1106
Mailing address
100 FISCHER MARKETPLACE LN STE 100, SHARPSBURG, GA 30277-3680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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