Organization · Type 2 NPI

Georgia Dental Professionals, PC

General Practice Dentistry · Kathleen, GA

NPI number 1679091805 Active

Practice location

674 Lake Joy Rd
Kathleen, GA 31047

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.

Another provider at this address

Shivani Vasudev-Patel, DMDGeneral Practice Dentistry Kathleen, GA NPI 1497598650

NPI record

NPI: 1679091805
Entity type: Organization (Type 2)
Issued: Sep 8, 2017
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Georgia Dental Professionals, PC

Other names

<unavail>
Lake Joy Dental Care · doing business as

Authorized official

Jessica Britt
Credentialing Coordinator
(217) 540-8426

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 1679091805

Georgia Dental Professionals, PC's National Provider Identifier is 1679091805, issued on Sep 8, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kathleen, GA. The record was last updated on Jul 21, 2022.