Organization · Type 2 NPI

Georgia Dental Outreach PC

Dentist · Conyers, GA

NPI number 1679551790 Active

Practice location

1816 Lakefield Ct SE Ste A
Conyers, GA 30013-6609

Fax (888) 373-9612

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1679551790

Georgia Dental Outreach PC's National Provider Identifier is 1679551790, issued on Jan 9, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Conyers, GA. The record was last updated on Apr 28, 2026.