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 1215315312

Georgia Dental Professionals, PC is a General Practice Dentistry in Tucker, 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

3983 Lavista Rd Ste 104
Tucker, GA 30084-5140
Phone: (770) 723-1111
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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 number1215315312
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Dental Professionals, PC
Authorized official Kim Wilson — Cred Sup · (217) 540-5170
Other names Family Dentistry Of Northlake
NPI enumeratedMay 11, 2015
Last updated in NPPESMay 11, 2015
Mailing address3983 Lavista Rd Ste 104, Tucker, GA 30084-5140

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