NPI age
10 years
Enumerated 2015-10-09
● Active Type 2 · Organization
Subpart
Georgia Dental Professionals, Pc
Georgia Dental Professionals, Pc is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Walker
Credentialing Coordinator
Last NPPES update
2015-10-09
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
780 East West Connector Sw, Suite 108
Austell, GA 30106
Mailing address
780 East West Connector Sw, Suite 108
Austell, GA 30106
Authorized official
Kendra Walker
Credentialing Coordinator
📞 2175408312
Specialties
-
Dentist PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Austell Family Dental Care
Practice context
Single-site organization. Only one practice location on file.
Subpart of Georgia Dental Professionals, Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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