Georgia Dental Professionals, PC
NPI 1013388552ActiveOrganization· Dentist, General Practice· Dacula, GA
Dentist, General Practice in Dacula, Georgia, registered in NPPES in October 2015, part of Georgia Dental Professionals, PC. The authorized official on file is Kendra Walker, Credentialing Coordinator.
Overview
| NPI | 1013388552 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Dental Professionals, PC |
| NPI issued | Oct 9, 2015 |
| Last updated in NPPES | Oct 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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