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Northeast Georgia Dental Professionals, LLC

NPI 1093283715ActiveOrganization· Dentist, General Practice· Dacula, GA

Dentist, General Practice in Dacula, Georgia, registered in NPPES in November 2018. The authorized official on file is Eric Jones, DMD, Ceo.

Overview

NPI1093283715
StatusActive
Entity typeOrganization
NPI issuedNov 12, 2018
Last updated in NPPESNov 12, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Dacula

All 24 general dentists in Dacula · All general dentists in Georgia