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GEORGIA DENTAL PROFESSIONALS, PC
NPI 1093578718
Dentist - General Practice in Dacula, GA

Active since February 05, 2024
952 HARBINS RD, STE 401, DACULA, GA 30019(470) 268-3056(470) 268-3127 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Georgia Dental Professionals, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA DENTAL PROFESSIONALS, PC (NPI 1093578718), doing business as Palm Creek Dental Care, is a healthcare organization registered as a general practice in Dacula, Georgia and active in the NPI registry since February 2024. The organization lists Cemyira Mcdougal, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1093578718
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address952 HARBINS RD, STE 401Dacula, GA 30019-2824
Mailing Address952 Harbins Rd, Ste 401Dacula, GA 30019-2824 · (470) 268-3056 · Fax (470) 268-3127
Phone(470) 268-3056
Fax(470) 268-3127
Organization SubpartYes
Authorized OfficialCemyira McdougalCredentialing · (217) 764-8609
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1093578718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
952 HARBINS RD, Dacula, GA 30019
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Other Names 1

Doing Business AsPalm Creek Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUBLIX SUPER MARKETS, INC.
Pharmacy (Community/Retail Pharmacy)
952 HARBINS RD
DACULA, GA 30019
Gwinnett County (770) 666-9281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Dental Professionals, PC's NPI number?

The NPI number for Georgia Dental Professionals, PC is 1093578718. It was assigned to this organization in the NPPES registry on February 5, 2024. The provider is doing business as Palm Creek Dental Care.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 952 Harbins Rd Ste 401, Dacula, GA 30019. The listed phone number is (470) 268-3056.

What is Georgia Dental Professionals, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Georgia Dental Professionals, PC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.