Organization · Type 2 NPI

Georgia Dental Professionals, PC

General Practice Dentistry · Norcross, GA

NPI number 1285242693 Active

Practice location

5185 Peachtree Pkwy Ste 201
Norcross, GA 30092-6539

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.

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NPI record

NPI: 1285242693
Entity type: Organization (Type 2)
Issued: Jul 22, 2020
Last updated: Jul 22, 2020
Status: Active
Subpart: Yes of Georgia Dental Professionals, PC

Other names

Innovative Smiles at the Forum · doing business as

Authorized official

Tabatha Lemke
Credentialing Coordinator
(217) 540-6078

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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 1285242693

Georgia Dental Professionals, PC's National Provider Identifier is 1285242693, issued on Jul 22, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Norcross, GA. The record was last updated on Jul 22, 2020.