Organization
GEORGIA DENTAL PROFESSIONALS, PC
Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Dental Care at Barrow Crossing
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
920 LOGANVILLE HWY STE 100, BETHLEHEM, GA 30620
(678) 621-2688
Mailing address
920 LOGANVILLE HWY STE 100, BETHLEHEM, GA 30620
(470) 499-2612
(470) 209-7901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
08/13/2019
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