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GEORGIA DENTAL PROFESSIONALS, PC
NPI 1508794231
Dentist in Locust Grove, GA

Active since May 12, 2026
4550 HIGHWAY 42 S, LOCUST GROVE, GA 30248(470) 994-7810 Get Directions Write a Review

NPPES record last updated: May 12, 2026. 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 1508794231), doing business as Indian Creek Dental Care, is a healthcare organization registered as a dentist in Locust Grove, Georgia and active in the NPI registry since May 2026. The organization lists Cemyira Mcdougal, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1508794231
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address4550 HIGHWAY 42 SLocust Grove, GA 30248-4111
Mailing Address4550 Highway 42 SLocust Grove, GA 30248-4111
Phone(470) 994-7810
Organization SubpartYes
Authorized OfficialCemyira McdougalCredentialing · (217) 764-8609
Enumeration DateMay 12, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1508794231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4550 HIGHWAY 42 S, Locust Grove, GA 30248
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Other Names 1

Doing Business AsIndian 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

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 1508794231. It was assigned to this organization in the NPPES registry on May 12, 2026. The provider is doing business as Indian Creek Dental Care.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 4550 Highway 42 S, Locust Grove, GA 30248. The listed phone number is (470) 994-7810.

What is Georgia Dental Professionals, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Georgia Dental Professionals, PC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.