P Praxis·MD
● Active Type 2 · Organization Subpart

Georgia Dental Professionals, Pc

Dentist·Tyrone, GA· NPI 1962098210 · Enumerated 2020 · 5 years on NPI
Georgia Dental Professionals, Pc is 1 of 4309 dentist organizations in Georgia.
NPI age
5 years
Enumerated 2020-12-21
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lemke
Credentialing Coordinator
Last NPPES update
2020-12-21
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
5 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
1522 Highway 74 N
Tyrone, GA 302901663
📞 6787888050
Mailing address
1522 Highway 74 N
Tyrone, GA 302901663

Authorized official

Tabatha Lemke
Credentialing Coordinator
📞 2175406078

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A 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.
    taxonomy 1223G0001X

Other names on file (1)

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

  • Tyrone Family Dentistry
    Type code 3 recorded 2020-12-21

Practice context

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

Subpart of Georgia Dental Professionals, Pc.

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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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