| Georgia Dental Professionals, Pc | |
|
3000 Chapel Hill Rd Ste 104 Douglasville GA 30135-1841 | |
| (770) 920-0112 | |
| Not Available |
| Full Name | Georgia Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3000 Chapel Hill Rd Ste 104, Douglasville, Georgia |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Professionals, Pc 3000 Chapel Hill Rd Ste 104 Douglasville GA 30135-1841 Ph: (770) 920-0112 | Georgia Dental Professionals, Pc 3000 Chapel Hill Rd Ste 104 Douglasville GA 30135-1841 Ph: (770) 920-0112 |
| NPI Number | 1760098214 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 09/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760098214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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