GEORGIA DENTAL PROFESSIONALS, PC (NPI# 1316397037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316397037 |
| Entity Type | Organization |
| Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Other Organization Name | MULBERRY CREEK DENTAL CARE |
| Practice Address |
4030 Winder Highway Flowery Branch GA 30542 |
| Practice Telephone | 6782178591 |
| Mailing Telephone | 6782178591 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Mulberry Creek Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1780220194 | Georgia Dental Professionals, PC | Dentist | 4355 Towne Lake Pkwy, Woodstock, GA 30189-8150 | 2019-11-20 |
| 1831746999 | Georgia Dental Professionals, PC | Dentist | 1207 Highway 74 S, Peachtree City, GA 30269-3078 | 2019-08-23 |
| 1972165207 | Georgia Dental Professionals, PC | Dentist | 516 Ga Highway 247 S, Bonaire, GA 31005-3865 | 2019-07-08 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1730747528 | Georgia Dental Professionals, PC | Dentist | 920 Loganville Hwy Ste 100, Bethlehem, GA 30620 | 2019-06-05 |
| Street Address |
4030 WINDER HIGHWAY |
| City | FLOWERY BRANCH |
| State | GA |
| Zip Code | 30542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1437673431 | Ronnie Weeks Lcsw LLC | Social Worker | 4825 Oliver Road, Flowery Branch, GA 30542 | 2017-08-01 |
| 1801342183 | Hema Sundar | Dentist | 4028 Winder Highway, Edmonton, GA 30542 | 2016-08-28 |
| 1285067793 | Home Care Matters | Home Health | 5505 Church St, Suite 240, Flowery Branch, GA 30542 | 2013-08-20 |
| 1093957052 | Janelle Elizabeth Luczka | Social Worker | 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 | 2009-04-06 |
| 1073764791 | Guillermina Osoria | Driver | 1707 Tree Park Cir, Flowery Branch, GA 30542 | 2008-10-01 |
| 1083888531 | Ingles Markets Inc | Pharmacy | 4260 Winder Hwy, Flowery Branch, GA 30542 | 2008-04-16 |
| 1679793038 | Sonea Maria Russell | Physical Therapy Assistant | Willowood Nursing Center, 4595 Cantrell Road, Flowery Branch, GA 30542 | 2007-04-26 |
| 1134345895 | Ray Charles Davis | Psychiatry & Neurology | 4331 Thurmond Tanner Parkway, Flowery Branc, GA 30542 | 2007-04-18 |
| 1942323100 | Kimberly Lynn Roth | Counselor | 3584 Atlanta Highway, Flowery Branch, GA 30542 | 2007-04-10 |
| Find all providers in zip 30542 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147680 | Yunhee Choi | Dentist | 3446 Winder Hwy # 501q, Flowery Branch, GA 30542-3007 | 2020-05-31 |
| 1689171928 | Saurinkumar Navinbhai Patel | Dentist | 3446 Winder Hwy Ste 501, Flowery Branch, GA 30542-3007 | 2018-04-12 |
| 1669853859 | Eric W. Jones, Dmd, PC | Dentist | 7330 Spout Springs Rd Ste C15, Flowery Branch, GA 30542-5801 | 2015-06-12 |
| 1942436217 | Eric Wonderly Jones | Dentist | 7338 Spout Springs Rd, Suite C-15, Flowery Branch, GA 30542-5803 | 2009-06-01 |
| 1083836126 | Royal E Fink Dds PC | Dentist | 6095 Atlanta Hwy Ste 200, Flowery Branch, GA 30542-5377 | 2007-05-02 |
| 1699711416 | Reginald Douglas Booker | Dentist | 4005 Winder Hwy, #100, Flowery Branch, GA 30542-6564 | 2006-06-21 |
| 1689921991 | Jayne Margaret Kelly | Dentist | 5900 Spout Springs Rd, Ste U-21, Flowery Branch, GA 30542 | 2012-08-07 |
| 1528334257 | Lily Teresa Gilchrist | Dentist | 4175 Tanners Creek Dr, Flowery Branch, GA 30542-2816 | 2012-03-27 |
| 1396023859 | Eric W. Jones, Dmd, PC | Dentist | 7338 Spout Springs Rd, Suite C-15, Flowery Branch, GA 30542-5803 | 2011-08-01 |
| 1710216783 | Royal Lakes Family and Cosmetic Dentistry, LLC | Dentist | 4005 Winder Hwy, Suite 100, Flowery Branch, GA 30542-6564 | 2009-12-21 |
| Find all providers in FLOWERY BRANCH | ||||
| City | FLOWERY BRANCH |
| Zip Code | 30542 |
Please comment or provide details below to improve the information on GEORGIA DENTAL PROFESSIONALS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.