Georgia Dental Professionals, Pc | |
755 Commerce Dr Suite 513 Decatur GA 30030-2627 | |
(404) 377-7711 | |
(404) 377-6040 |
Full Name | Georgia Dental Professionals, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 755 Commerce Dr, Decatur, Georgia |
Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
Authorized Official Contact | 2175408972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Georgia Dental Professionals, Pc 755 Commerce Dr Suite 513 Decatur GA 30030-2627 Ph: (404) 377-7711 | Georgia Dental Professionals, Pc 755 Commerce Dr Suite 513 Decatur GA 30030-2627 Ph: (404) 377-7711 |
NPI Number | 1992861637 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 08/29/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992861637 | NPI | - | NPPES |
1922164672 | Other | GA | DR. THOMAS J. PRICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7624 (Georgia) | Primary |
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North Decatur Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2570 Blackmon Drive, Suite 320, Decatur, GA 30033 Phone: 678-203-3462 Fax: 678-389-6421 | |
Family Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4324 Covington Hwy, Decatur, GA 30035 Phone: 404-289-6454 Fax: 404-289-2570 | |
Kool Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1756 Candler Road, Decatur, GA 30032 Phone: 404-591-5665 Fax: 404-591-5666 |