| Georgia Dental Professionals, Pc | |
|
1522 Highway 74 N Tyrone GA 30290-1663 | |
| (678) 788-8050 | |
| Not Available |
| Full Name | Georgia Dental Professionals, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1522 Highway 74 N, Tyrone, Georgia |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Professionals, Pc 1522 Highway 74 N Tyrone GA 30290-1663 Ph: () - | Georgia Dental Professionals, Pc 1522 Highway 74 N Tyrone GA 30290-1663 Ph: (678) 788-8050 |
| NPI Number | 1962098210 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962098210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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