Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Bay Creek Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING)
(217) 764-8609
Entity
Organization
Contact information
Practice address
2785 LOGANVILLE HWY, LOGANVILLE, GA 30052-5082
(770) 901-2145
(770) 901-2143
Mailing address
2785 LOGANVILLE HWY, LOGANVILLE, GA 30052-5082
(770) 901-2145
(770) 901-2143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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