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GREEN STREET SMILES
NPI 1922409945
Dentist - General Practice in Gainesville, GA

Active since September 09, 2014
615 GREEN ST NW, GAINESVILLE, GA 30501(770) 532-2336(770) 536-3905 Get Directions Write a Review

NPPES record last updated: September 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Green Street Smiles NPPES

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

GREEN STREET SMILES (NPI 1922409945) is a healthcare organization registered as a general practice in Gainesville, Georgia and active in the NPI registry since September 2014. The organization lists Kim Wilson, Cred Supervisor, as its authorized official.

NPPES Registry Identity

NPI1922409945
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address615 GREEN ST NWGainesville, GA 30501-3378
Mailing Address615 Green St NwGainesville, GA 30501-3378 · (770) 532-2336 · Fax (770) 536-3905
Phone(770) 532-2336
Fax(770) 536-3905
Organization SubpartYes
Authorized OfficialKim WilsonCred Supervisor · (217) 540-5170
Enumeration DateSeptember 9, 2014
✔ NPI 1922409945 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.
615 GREEN ST NW, Gainesville, GA 30501
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Other Names 1

Doing Business AsGreen Street Smiles

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 5

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

GEORGIA DEVELOPMENTAL CENTER
Psychologist
615 GREEN ST NW, SUITE 201
GAINESVILLE, GA 30501
Hall County (770) 538-4800
DR. NORMAN DAVIS PEETS III D.D.S
Dentist (General Practice)
615 GREEN ST NW, SUITE 101
GAINESVILLE, GA 30501
Hall County (770) 532-2336
GEORGIA DENTAL PROFESSIONALS, PC
Dentist (General Practice)
615 GREEN ST NW, SUITE 101
GAINESVILLE, GA 30501
Hall County (770) 532-2336
DR. BRUCE MYRON BECKHAM D.M.D.
Dentist (Endodontics)
615 GREEN ST NW
GAINESVILLE, GA 30501
Hall County (770) 535-0509
FRANK T. WAGGONER JR. DDS
Dentist (General Practice)
615 GREEN ST NW
GAINESVILLE, GA 30501
Hall County (770) 536-1012

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 1922409945. It was assigned to this organization in the NPPES registry on September 9, 2014. The provider is doing business as Green Street Smiles.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 615 Green St NW, Gainesville, GA 30501. The listed phone number is (770) 532-2336.

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 September 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.