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GEORGIA DENTAL PROFESSIONALS PC NPI 1124576954


NPI Information

NPI: 1124576954
Provider Name: GEORGIA DENTAL PROFESSIONALS, PC

Doing Business As: SEASIDE LIFETIME DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
165 JUNIPER CIR
BRUNSWICK, GA
ZIP 31520
Phone: (912) 554-4552
Get Directions

GEORGIA DENTAL PROFESSIONALS, PC is a general practice dentist in Brunswick, GA. The provider is 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. GEORGIA DENTAL PROFESSIONALS, PC NPI is 1124576954. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Seaside Lifetime Dentistry.

The provider's business location address is:

165 JUNIPER CIR
BRUNSWICK, GA
ZIP 31520-953
Phone: (912) 554-4552

The provider's authorized official is Cassandra N Teutsch .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-8972.

The enumeration date for this NPI number is 9/21/2016 and was last updated on 9/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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