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SHADOW BROOK DENTAL CARE
NPI 1932351731
Dentist - General Practice in Suwanee, GA

Active since October 13, 2008
3320 LAWRENCEVILLE SUWANEE RD, SUITE 2F, SUWANEE, GA 30024(678) 546-4000(678) 546-4005 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Shadow Brook Dental Care NPPES

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

SHADOW BROOK DENTAL CARE (NPI 1932351731) is a healthcare organization registered as a general practice in Suwanee, Georgia and active in the NPI registry since October 2008. The organization lists Kendra Walker, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1932351731
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address3320 LAWRENCEVILLE SUWANEE RD, SUITE 2FSuwanee, GA 30024-6542
Mailing Address3320 Lawrenceville Suwanee Rd, Suite 2fSuwanee, GA 30024-6542 · (678) 546-4000 · Fax (678) 546-4005
Phone(678) 546-4000
Fax(678) 546-4005
Organization SubpartYes
Authorized OfficialKendra WalkerCredentialing Supervisor · (217) 540-8312
Enumeration DateOctober 13, 2008
Last NPPES UpdateApril 3, 2017
✔ NPI 1932351731 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.
3320 LAWRENCEVILLE SUWANEE RD, Suwanee, GA 30024
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Other Names 1

Doing Business AsShadow Brook 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

Other Providers at the Same Location NPPES 3

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

DR. CHRISTOPHER L WATERS D.C.
Chiropractor
3320 LAWRENCEVILLE SUWANEE RD, SUITE 1C
SUWANEE, GA 30024
Gwinnett County (678) 714-5722
DR. NATASHA KANCHWALA
Dentist
3320 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA 30024
Gwinnett County (678) 546-4000
INTEGRITY SPINE AND WELLNESS
Chiropractor
3320 LAWRENCEVILLE SUWANEE RD, SUITE 1C
SUWANEE, GA 30024
Gwinnett County (678) 714-5722

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 1932351731. It was assigned to this organization in the NPPES registry on October 13, 2008. The provider is doing business as Shadow Brook Dental Care.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 3320 Lawrenceville Suwanee Rd Suite 2F, Suwanee, GA 30024. The listed phone number is (678) 546-4000.

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 April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.