Organization · Type 2 NPI

Georgia Dental Professionals, PC

General Practice Dentistry · Pooler, GA

NPI number 1396135216 Active

Practice location

155 Trader Way
Pooler, GA 31322

Call (912) 208-5594 Map

Mailing address

155 Traders Way, Suite 400
Pooler, GA 31322-4300

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	DN012289 (GA)

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.

Other general practice dentistry providers in Pooler

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NPI record

NPI: 1396135216
Entity type: Organization (Type 2)
Issued: Jan 30, 2015
Last updated: May 25, 2016
Status: Active
Subpart: Yes of Georgia Dental Professionals, PC

Other names

<unavail>
Pooler Parkway Dental Care · doing business as

Authorized official

Kendra Walker
Credentialing Coordinator
(217) 540-8312

Verify this record

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 1396135216

Georgia Dental Professionals, PC's National Provider Identifier is 1396135216, issued on Jan 30, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pooler, GA. The record was last updated on May 25, 2016.