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BAKER ROAD DENTAL CARE
NPI 1255940839
Dentist - General Practice in Kennesaw, GA

Active since July 29, 2020
4090 JILES RD NW, KENNESAW, GA 30144(678) 915-9496(678) 224-6155 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2021, Jul 29, 2020 (2 updates tracked since 2020).

About Baker Road Dental Care NPPES

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

BAKER ROAD DENTAL CARE (NPI 1255940839) is a healthcare organization registered as a general practice in Kennesaw, Georgia and active in the NPI registry since July 2020. The organization lists Jessica Britt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1255940839
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address4090 JILES RD NWKennesaw, GA 30144-1105
Mailing Address4090 Jiles Rd NwKennesaw, GA 30144-1105 · (678) 915-9496
Phone(678) 915-9496
Fax(678) 224-6155
Organization SubpartYes
Authorized OfficialJessica BrittCredentialing Coordinator · (217) 540-5100
Enumeration DateJuly 29, 2020
Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
✔ NPI 1255940839 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.
4090 JILES RD NW, Kennesaw, GA 30144
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Other Names 1

Doing Business AsBaker Road 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 2

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

ABBOSS SHARIFZADEH
Dentist
4090 JILES RD NW
KENNESAW, GA 30144
Cobb County (217) 540-5100
NATALIE EVE KOCHANOWSKI DMD
Dentist
4090 JILES RD NW
KENNESAW, GA 30144
Cobb County (678) 915-9496

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 1255940839. It was assigned to this organization in the NPPES registry on July 29, 2020. The provider is doing business as Baker Road Dental Care.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 4090 Jiles Rd NW, Kennesaw, GA 30144. The listed phone number is (678) 915-9496.

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 January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.