Georgia Dental Professionals, PC
Dentist, General Practice in Tyrone, GA. Organization (NPI-2).
NPI number1962098210
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1962098210
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Dental Professionals, PC
- Organization subpart
- Yes
- Enumeration date
- Dec 21, 2020
- Certification date
- Dec 21, 2020
- Last updated
- Dec 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Tyrone Family Dentistry (Doing Business As)
Practice location
1522 Highway 74 NTyrone, GA 30290-1663
Phone 678-788-8050
Mailing address
1522 Highway 74 NTyrone, GA 30290-1663
Authorized official
Tabatha Lemke
Credentialing Coordinator
2175406078
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Tyrone, GA
- Jeffrey Thomas Benz, DMDNPI 1396856050
- Carlos Ramos Dmd; PCNPI 1750731303
- James McClellan Deckman, DMDNPI 1255354494
- Lauren Chandler Lee-Henderson, DDSNPI 1285205476
- Juliane Simone Reynolds, D.D.S.NPI 1790990091
- Brian A Smith, DMD,P.CNPI 1487727012
All 7 General Practice Dentistry providers in Tyrone · All 326 providers in Tyrone
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.