1. Home
  2. Directory
  3. Georgia
  4. Norcross
  5. Dentist
  6. NPI Profile

GEORGIA DENTAL PROFESSIONALS, PC
NPI 1285242693
Dentist - General Practice in Norcross, GA

Active since July 22, 2020
5185 PEACHTREE PKWY STE 201, NORCROSS, GA 30092(770) 368-1110 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 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 1285242693), doing business as Innovative Smiles At The Forum, is a healthcare organization registered as a general practice in Norcross, Georgia and active in the NPI registry since July 2020. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1285242693
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address5185 PEACHTREE PKWY STE 201Norcross, GA 30092-6539
Mailing Address5185 Peachtree Pkwy Ste 201Norcross, GA 30092-6539
Phone(770) 368-1110
Organization SubpartYes
Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078
Enumeration DateJuly 22, 2020
NPPES CertifiedJuly 22, 2020
✔ NPI 1285242693 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.
5185 PEACHTREE PKWY STE 201, Norcross, GA 30092
Open in Google Maps ↗

Other Names 1

Doing Business AsInnovative Smiles At The Forum

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

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 1285242693. It was assigned to this organization in the NPPES registry on July 22, 2020. The provider is doing business as Innovative Smiles at the Forum.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092. The listed phone number is (770) 368-1110.

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 July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.