Georgia Dental Professionals, PC
Dentist, General Practice in Johns Creek, GA. Organization (NPI-2).
NPI number1164029757
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1164029757
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Dental Professionals, PC
- Organization subpart
- Yes
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 5, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Haynes Bridge Dental Care (Doing Business As)
Practice location
9925 Haynes Bridge RdJohns Creek, GA 30022-8532
Phone 470-297-6700
Mailing address
9925 Haynes Bridge RdJohns Creek, GA 30022-8532
Authorized official
Tabatha Lemke
Credentialing Coordinator
2175406078
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All 25 General Practice Dentistry providers in Johns Creek · All 1,177 providers in Johns Creek
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