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Organization

GEORGIA DENTAL PROFESSIONALS, PC

Active
Parent organization
GEORGIA DENTAL PROFESSIONALS, PC
Other names
Starr's Mill Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
GEORGIA DENTAL PROFESSIONALS, PC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization

Contact information

Practice address
1207 HIGHWAY 74 S, PEACHTREE CITY, GA 30269-3078
(770) 756-8548
(770) 703-3205
Mailing address
1207 HIGHWAY 74 S, PEACHTREE CITY, GA 30269-3078
(678) 552-2362

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/23/2019
Last updated
10/04/2019
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