| Georgia Dental Professionals, Pc | |
|
104 S. Houston Rd. Warner Robins GA 31088-3904 | |
| (478) 922-2910 | |
| (478) 922-7788 |
| Full Name | Georgia Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 S. Houston Rd., Warner Robins, Georgia |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Professionals, Pc 104 S. Houston Rd. Warner Robins GA 31088-3904 Ph: (478) 922-2910 | Georgia Dental Professionals, Pc 104 S. Houston Rd. Warner Robins GA 31088-3904 Ph: (478) 922-2910 |
| NPI Number | 1861607079 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 12/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861607079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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