| Georgia Dental Professionals, Pc | |
| 
					9925 Haynes Bridge Rd Johns Creek GA 30022-8532  | |
| (470) 297-6700 | |
| Not Available | 
| Full Name | Georgia Dental Professionals, Pc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 9925 Haynes Bridge Rd, Johns Creek, 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 9925 Haynes Bridge Rd Johns Creek GA 30022-8532 Ph: () -  | Georgia Dental Professionals, Pc 9925 Haynes Bridge Rd Johns Creek GA 30022-8532 Ph: (470) 297-6700  | 
| NPI Number | 1164029757 | 
|---|---|
| Provider Enumeration Date | 10/06/2020 | 
| Last Update Date | 10/06/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164029757 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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