GEORGIA DENTAL PROFESSIONALS, PC (NPI# 1407347891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407347891 |
Entity Type | Organization |
Organization Name | GEORGIA DENTAL PROFESSIONALS, PC |
Other Organization Name | SAVANNAH QUARTERS DENTAL CARE |
Practice Address |
2140 Pooler Pkwy Pooler GA 31322 |
Mailing Address |
2140 Pooler Pkwy Pooler GA 31322-4264 |
Practice Telephone | 2175405100 |
Mailing Telephone | 9123302024 |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-07-02 |
Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 2175408426 |
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 |
---|---|
Savannah Quarters 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 |
2140 POOLER PKWY |
City | POOLER |
State | GA |
Zip Code | 31322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
1942751094 | Daysha Phimphone | Counselor | 184 Hamiton Grove Drive, Pooler, GA 31322 | 2016-10-24 |
Find all providers in zip 31322 |
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 |
---|---|---|---|---|
1760937668 | Gamble Dentalsmart, PC | Dentist | 1034 Us Highway 80 W, Pooler, GA 31322-2114 | 2016-08-20 |
1114304540 | Gamble Dentalsmart PC | Dentist | 1034 Highway 80, Pooler, GA 31322 | 2015-05-06 |
1396135216 | Georgia Dental Professionals, PC | Dentist | 155 Trader Way, Pooler, GA 31322 | 2015-01-30 |
1811013402 | Julia K Howard | Dentist | 91 Brighton Woods Dr, Pooler, GA 31322-2141 | 2007-03-22 |
1255419446 | Alexander Bannout | Dentist | 130 Canal St, Suite 204, Pooler, GA 31322-4085 | 2006-11-02 |
1164498507 | Shana K Herring | Dentist | 143 Canal St Ste 400, Suite #2, Pooler, GA 31322-6016 | 2006-02-26 |
1477048155 | Dimple Jayantilal Patel | Dentist | 276 Pooler Pkwy Ste A, Pooler, GA 31322-5163 | 2018-06-26 |
1457794190 | Colin Trester Strub | Dentist | 125 Southern Junction Blvd, Suite 701, Pooler, GA 31322-2214 | 2013-04-11 |
1053696781 | Towne Lake Dental Group, LLC | Dentist | 125 Southern Junction Blvd, Suite 701, Pooler, GA 31322-2214 | 2011-10-13 |
1982917522 | Alexander Bannout Dds, PC | Dentist | 130 Canal St, Suite 204, Pooler, GA 31322-4085 | 2010-07-25 |
Find all providers in POOLER |
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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.