Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
LEO WHEAT (OWNER)
(217) 540-2100
Entity
Organization
Contact information
Practice address
615 GREEN ST NW, SUITE 101, GAINESVILLE, GA 30501-3378
(770) 532-2336
(770) 536-3905
Mailing address
615 GREEN ST NW, SUITE 101, GAINESVILLE, GA 30501-3378
(770) 532-2336
(770) 536-3905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011107
GA
Other
Enumeration date
04/04/2007
Last updated
07/24/2019
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