| Georgia Dental Professionals, Pc | |
|
100 Fischer Marketplace Ln Ste 100 Sharpsburg GA 30277-3680 | |
| (470) 347-1079 | |
| (470) 347-1106 |
| Full Name | Georgia Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Fischer Marketplace Ln Ste 100, Sharpsburg, Georgia |
| Authorized Official Name and Position | Cemyira Mcdougal (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2177648609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Professionals, Pc 100 Fischer Marketplace Ln Ste 100 Sharpsburg GA 30277-3680 Ph: () - | Georgia Dental Professionals, Pc 100 Fischer Marketplace Ln Ste 100 Sharpsburg GA 30277-3680 Ph: (470) 347-1079 |
| NPI Number | 1437992401 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437992401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Peachtree Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Fischer Crossing Drive, Sharpsburg, GA 30277 Phone: 678-272-3964 Fax: 678-325-0768 |