POOLER PARKWAY DENTAL CARE
NPI 1396135216
Dentist - General Practice in Pooler, GA

Active since January 30, 2015
155 TRADER WAY, POOLER, GA 31322(912) 208-5594 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pooler Parkway Dental Care NPPES

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

POOLER PARKWAY DENTAL CARE (NPI 1396135216) is a healthcare organization registered as a general practice in Pooler, Georgia and active in the NPI registry since January 2015. The organization lists Kendra Walker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1396135216
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address155 TRADER WAYPooler, GA 31322
Mailing Address155 Traders Way, Suite 400Pooler, GA 31322-4300 · (912) 348-3155
Organization SubpartYes
Authorized OfficialKendra WalkerCredentialing Coordinator · (217) 540-8312
Enumeration DateJanuary 30, 2015
Last NPPES UpdateMay 25, 2016
NPI 1396135216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN012289
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.
155 TRADER WAY, Pooler, GA 31322

Other Names 1

Doing Business AsPooler Parkway 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

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 1396135216. It was assigned to this organization in the NPPES registry on January 30, 2015. The provider is doing business as Pooler Parkway Dental Care.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 155 Trader Way, Pooler, GA 31322. The listed phone number is (912) 208-5594.

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 May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.