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

Georgia Dental Professionals, PC

Organization Dentist · NPI 1508794231

Georgia Dental Professionals, PC is a Dentist in Locust Grove, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4550 Highway 42 S
Locust Grove, GA 30248-4111
Phone: (470) 994-7810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1508794231
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Dental Professionals, PC
Authorized official Cemyira McDougal — Credentialing · (217) 764-8609
Other names Indian Creek Dental Care
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 7, 2026
Mailing address4550 Highway 42 S, Locust Grove, GA 30248-4111

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