Organization
GEORGIA DENTAL OUTREACH PC
Active
Other names
Help A Child Smile
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SPURGEON (CREDENTIALING)
(888) 833-8441
Entity
Organization
Contact information
Practice address
1816 LAKEFIELD CT SE STE A, CONYERS, GA 30013-6609
(888) 833-8441
(888) 373-9612
Mailing address
1816 LAKEFIELD CT SE STE A, CONYERS, GA 30013-6609
(888) 833-8441
(888) 373-9612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031658A
—
GA
Enumeration date
01/09/2006
Last updated
04/28/2026
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