| Georgia Dental Professionals, Pc | |
|
674 Lake Joy Rd Kathleen GA 31047 | |
| (478) 225-4572 | |
| Not Available |
| Full Name | Georgia Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 674 Lake Joy Rd, Kathleen, Georgia |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Professionals, Pc 674 Lake Joy Rd Kathleen GA 31047 Ph: (478) 225-4572 | Georgia Dental Professionals, Pc 674 Lake Joy Rd Kathleen GA 31047 Ph: (478) 225-4572 |
| NPI Number | 1679091805 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679091805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |