Provider Type Icon

GEORGIA DENTAL PROFESSIONALS PC NPI 1215313044


NPI Information

NPI: 1215313044
Provider Name: GEORGIA DENTAL PROFESSIONALS, PC

Doing Business As: BYRON FAMILY DENTAL CARE

Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

CLIA Number: 11D0948779

Address:
6005 WATSON BLVD SUITE 200
BYRON, GA
ZIP 31008
Phone: (478) 217-4952
Get Directions

GEORGIA DENTAL PROFESSIONALS, PC is a dental public health dentist in Byron, GA. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. GEORGIA DENTAL PROFESSIONALS, PC NPI is 1215313044. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Byron Family Dental Care.

The provider's business location address is:

6005 WATSON BLVD SUITE 200
BYRON, GA
ZIP 31008
Phone: (478) 217-4952

The provider's authorized official is Carmen Woods .
The authorized official title is Credentialing and has the following contact phone number (478) 217-4952.

The CLIA number assigned to this NPI record is 11D0948779 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 8/4/2015.


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
11223D0001XDentistDental Public HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.