NPI age
20 years
Enumerated 2006-01-09
● Active Type 2 · Organization
Georgia Dental Outreach Pc
Georgia Dental Outreach Pc is 1 of 2660 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Spurgeon
Credentialing
Last NPPES update
2026-04-28
Source: monthly bulk 2026-05
How this organization compares
Across 2660 active dentist providers in Georgia.
NPI age
20 years
↑ 6 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 Se Ste A
Conyers, GA 300136609
Mailing address
1816 Lakefield Ct Se Ste A
Conyers, GA 300136609
Authorized official
Paul Spurgeon
Credentialing
📞 8888338441
Specialties
-
Dentist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 300031658A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Help A Child Smile
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 2660 Dentist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.