P Praxis·MD
● Active Type 2 · Organization Subpart

Dental Professionals Of Georgia, P.c.

Dentist·Clayton, GA· NPI 1417394958 · Enumerated 2013 · 13 years on NPI
Dental Professionals Of Georgia, P.c. is 1 of 2660 dentist organizations in Georgia.
NPI age
13 years
Enumerated 2013-05-23
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Edmonds
Credentialing Coordinator
Last NPPES update
2016-03-29
Source: monthly bulk 2026-05

How this organization compares

Across 2660 active dentist providers in Georgia.

NPI age
13 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
436 Warwoman Rd
Clayton, GA 305255105
📞 7067825414
Mailing address
436 Warwoman Rd
Clayton, GA 305255105
📞 7067825414

Authorized official

Lori Edmonds
Credentialing Coordinator
📞 2175408468

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Dental Care of Clayton
    Type code 3 recorded 2016-03-29

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Subpart of Dental Professionals Of Georgia, P.c..

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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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