| Georgia Dental Professionals, Pc | |
|
2998 Panola Rd Stonecrest GA 30038-2394 | |
| (043) 228-0404 | |
| Not Available |
| Full Name | Georgia Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2998 Panola Rd, Stonecrest, 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 2998 Panola Rd Stonecrest GA 30038-2394 Ph: (043) 228-0404 | Georgia Dental Professionals, Pc 2998 Panola Rd Stonecrest GA 30038-2394 Ph: (043) 228-0404 |
| NPI Number | 1992479893 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992479893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |