Organization
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Other names
Thomaston Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF GEORGIA, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
316 W MAIN ST, THOMASTON, GA 30286-3558
(706) 647-5575
Mailing address
316 W MAIN ST, THOMASTON, GA 30286-3558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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