Organization · Type 2 NPI

Georgia Dental Professionals, PC

General Practice Dentistry · Marietta, GA

NPI number 1720458177 Active

Practice location

3101 Roswell Rd, Suite 164
Marietta, GA 30062-7621

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

Other general practice dentistry providers in Marietta

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NPI record

NPI: 1720458177
Entity type: Organization (Type 2)
Issued: Sep 29, 2015
Last updated: Nov 4, 2015
Status: Active
Subpart: Yes of Georgia Dental Professionals, PC

Other names

<unavail>
Olde Mill Family Dental · 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 1720458177

Georgia Dental Professionals, PC's National Provider Identifier is 1720458177, issued on Sep 29, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Marietta, GA. The record was last updated on Nov 4, 2015.