GEORGIA DENTAL PROFESSIONALS, PC
NPI 1992861637
Dentist - General Practice in Decatur, GA

Active since December 28, 2006
755 COMMERCE DR, SUITE 513, DECATUR, GA 30030(404) 377-7711(404) 377-6040 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 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 1992861637) is a healthcare organization registered as a general practice in Decatur, Georgia and active in the NPI registry since December 2006. The organization lists Cassandra Petersen, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1992861637
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL PROFESSIONALS, PC
Location Address755 COMMERCE DR, SUITE 513Decatur, GA 30030-2627
Mailing Address755 Commerce Dr, Suite 513Decatur, GA 30030-2627 · (404) 377-7711 · Fax (404) 377-6040
Fax(404) 377-6040
Organization SubpartNo
Authorized OfficialCassandra PetersenCredentialing Team Lead · (217) 540-8972
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 29, 2018
NPI 1992861637 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 · 7624
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.

755 COMMERCE DR, Decatur, GA 30030

Other Identifiers 1

Other1922164672GA · Dr. Thomas J. Price

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

Counselor (Professional)
755 COMMERCE DR
DECATUR, GA 30030
Dentist (General Practice)
755 COMMERCE DR, SUITE 520
DECATUR, GA 30030
Dentist (General Practice)
755 COMMERCE DR, SUITE 901
DECATUR, GA 30030
Clinical Neuropsychologist
755 COMMERCE DR, SUITE 903
DECATUR, GA 30030
Dentist
755 COMMERCE DR, 520
DECATUR, GA 30030
Dietitian, Registered
755 COMMERCE DR, 2ND FLOOR
DECATUR, GA 30030
Dentist (Oral and Maxillofacial Surgery)
755 COMMERCE DR, SUITE A
DECATUR, GA 30030
Dentist (Oral and Maxillofacial Surgery)
755 COMMERCE DR, SUITE A
DECATUR, GA 30030

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 1992861637. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Georgia Dental Professionals, PC located?

Georgia Dental Professionals, PC is located at 755 Commerce Dr Suite 513, Decatur, GA 30030. The listed phone number is (404) 377-7711.

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 August 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.