Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Georgia Dental Professionals, PC

Organization General Practice Dentistry · NPI 1104218361

Georgia Dental Professionals, PC is a General Practice Dentistry in Marietta, Georgia. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3052 Shallowford Rd Ste 100
Marietta, GA 30062-1252
Phone: (770) 587-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104218361
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Dental Professionals, PC
Authorized official Kim Wilson — Cred Sup · (217) 540-5170
Other names Elite Dentistry
NPI enumeratedFebruary 25, 2015
Last updated in NPPESFebruary 25, 2015
Mailing address3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252

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