NPI age
11 years
Enumerated 2014-09-09
● 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
Wilson
Cred Supervisor
Last NPPES update
2014-09-09
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
615 Green St Nw
Gainesville, GA 305013378
Mailing address
615 Green St Nw
Gainesville, GA 305013378
Authorized official
Kim Wilson
Cred Supervisor
📞 2175405170
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Bruce Beckham, D.M.D. Dentist NPI 1932208014
- Norman Peets, D.D.S Dentist NPI 1538280862
- Frank Waggoner, DDS Dentist NPI 1952302309
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.
-
Green Street Smiles
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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 →
- 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.