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GEORGIA DENTAL PROFESSIONALS, PC
NPI 1679167290
Dentist - General Practice in Evans, GA

Active since February 24, 2021
545 MULLINS COLONY DR, EVANS, GA 30809(706) 842-2215 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 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 1679167290), doing business as Dental Care At Mullins Colony, is a healthcare organization registered as a general practice in Evans, Georgia and active in the NPI registry since February 2021. The organization lists Celia Hayes, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1679167290
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address545 MULLINS COLONY DREvans, GA 30809-0559
Mailing Address545 Mullins Colony DrEvans, GA 30809-0559 · (706) 842-2215
Phone(706) 842-2215
Organization SubpartYes
Authorized OfficialCelia HayesCredentialing Coordinator · (217) 540-2100
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 5, 2021
✔ NPI 1679167290 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.
545 MULLINS COLONY DR, Evans, GA 30809
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Other Names 1

Doing Business AsDental Care At Mullins Colony

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.

DR. ALEXANDRA LEIGH RUSSELL DMD
Dentist (General Practice)
545 MULLINS COLONY DR
EVANS, GA 30809
Columbia County (706) 842-2215
DR. MARY-CAROLINE SANFORD DMD
Dentist (General Practice)
545 MULLINS COLONY DR
EVANS, GA 30809
Columbia County (706) 842-2215

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 1679167290. It was assigned to this organization in the NPPES registry on February 24, 2021. The provider is doing business as Dental Care at Mullins Colony.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 545 Mullins Colony Dr, Evans, GA 30809. The listed phone number is (706) 842-2215.

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 24, 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.