Organization · Type 2 NPI

Heartland Dental Care of Georgia, P.c.

General Practice Dentistry · Woodstock, GA

NPI number 1790190056 Active

Practice location

12201 Highway 92, Suite G/h
Woodstock, GA 30188-7140

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 Woodstock

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NPI record

NPI: 1790190056
Entity type: Organization (Type 2)
Issued: Jun 25, 2014
Last updated: Jun 25, 2014
Status: Active
Subpart: Yes of Heartland Dental Care of Georgia, P.c.

Other names

<unavail>
Little River 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 1790190056

Heartland Dental Care of Georgia, P.c.'s National Provider Identifier is 1790190056, issued on Jun 25, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Woodstock, GA. The record was last updated on Jun 25, 2014.