Organization · Type 2 NPI

Georgia Dental Professionals, PC

General Practice Dentistry · Tyrone, GA

NPI number 1962098210 Active

Practice location

1522 Highway 74 N
Tyrone, GA 30290-1663

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

Anh T. Khieu, DMDDentist Tyrone, GA NPI 1457466765

Other general practice dentistry providers in Tyrone

Carlos Ramos Dmd; PCGeneral Practice Dentistry Tyrone, GA NPI 1750731303

See all in Tyrone →

NPI record

NPI: 1962098210
Entity type: Organization (Type 2)
Issued: Dec 21, 2020
Last updated: Dec 21, 2020
Status: Active
Subpart: Yes of Georgia Dental Professionals, PC

Other names

Tyrone Family Dentistry · doing business as

Authorized official

Tabatha Lemke
Credentialing Coordinator
(217) 540-6078

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 1962098210

Georgia Dental Professionals, PC's National Provider Identifier is 1962098210, issued on Dec 21, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tyrone, GA. The record was last updated on Dec 21, 2020.