Georgia Dental Professionals, PC
NPI 1053045278ActiveOrganization· Dentist, General Practice· Suwanee, GA
Dentist, General Practice in Suwanee, Georgia, registered in NPPES in July 2022, part of Georgia Dental Professionals, PC. The authorized official on file is Courtney Monteith, Credentialing Coordinator.
Overview
| NPI | 1053045278 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Dental Professionals, PC |
| NPI issued | Jul 13, 2022 |
| Last updated in NPPES | Jul 13, 2022 |
| Certified by provider | Jul 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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