| Georgia Dental Professionals, Pc | |
|
1500 Peachtree Industrial Blvd Ste 260 Suwanee GA 30024-8493 | |
| (770) 476-9511 | |
| Not Available |
| Full Name | Georgia Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1500 Peachtree Industrial Blvd Ste 260, Suwanee, Georgia |
| Authorized Official Name and Position | Courtney Monteith (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Professionals, Pc 1500 Peachtree Industrial Blvd Ste 260 Suwanee GA 30024-8493 Ph: () - | Georgia Dental Professionals, Pc 1500 Peachtree Industrial Blvd Ste 260 Suwanee GA 30024-8493 Ph: (770) 476-9511 |
| NPI Number | 1053045278 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053045278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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