Organization · Type 2 NPI

Georgia Dental Professionals, PC

General Practice Dentistry · Kennesaw, GA

NPI number 1255940839 Active

Practice location

4090 Jiles Rd NW
Kennesaw, GA 30144-1105

Fax (678) 224-6155

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

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NPI record

NPI: 1255940839
Entity type: Organization (Type 2)
Issued: Jul 29, 2020
Last updated: Jan 15, 2021
Status: Active
Subpart: Yes of Georgia Dental Professionals, PC

Other names

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Baker Road Dental Care · doing business as
Baker Road Dental Care · doing business as

Authorized official

Jessica Britt
Credentialing Coordinator
(217) 540-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255940839

Georgia Dental Professionals, PC's National Provider Identifier is 1255940839, issued on Jul 29, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kennesaw, GA. The record was last updated on Jan 15, 2021.