P Praxis·MD
● Active Type 2 · Organization

Shurett Dental Group Pc

Clinic/Center·Conyers, GA· NPI 1235117375 · Enumerated 2006 · 20 years on NPI
Shurett Dental Group Pc is 1 of 507 clinic/center organizations in Georgia.
NPI age
20 years
Enumerated 2006-01-09
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Titshaw
Director Of Administration
Last NPPES update
2009-02-03
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
20 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1816 Lakefield Ct
Conyers, GA 30013
📞 7708608760fax 7707601375
Mailing address
1816 Lakefield Ct
Conyers, GA 30013
📞 7708608760fax 7707601375

Authorized official

Tina L Titshaw
Director Of Administration
📞 7707607900

Individual providers at this organization

8 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QD0000X

Practice context

Multi-provider organization. 8 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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