Individual provider · Type 1 NPI

Cordaryl Lee Whitehead

General Practice Dentistry · Newnan, GA

NPI number 1952089609 Active

Practice location

42 Market Square Rd
Newnan, GA 30265-5613

Call (470) 837-5258 Map

Mailing address

13072 Buck Ridge Ln
Union City, GA 30291-1181

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDN28351 (FL)
General Practice Dentistry Primary 1223G0001XDN124310 (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.

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About NPI 1952089609

Cordaryl Lee Whitehead's National Provider Identifier is 1952089609, issued on Jul 11, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Newnan, GA. The record was last updated on Aug 11, 2026.