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Contact Information

GEORGIA DENTAL PROFESSIONALS, PC
155 TRADER WAY
POOLER, GA31322
 Phone: 912-208-5594
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GEORGIA DENTAL PROFESSIONALS, PC

NPI # 1396135216
LBN Legal business name GEORGIA DENTAL PROFESSIONALS, PC
Authorized official KENDRA WALKER - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/30/2015
Last updated 05/25/2016 - About 10 years ago
Identifiers
GA License # DN012289
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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