Georgia Dental Professionals, PC
NPI 1093578718ActiveOrganization· Dentist, General Practice· Dacula, GA
Dentist, General Practice in Dacula, Georgia, registered in NPPES in February 2024, part of Georgia Dental Professionals, PC. The authorized official on file is Cemyira McDougal, Credentialing.
Overview
| NPI | 1093578718 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Dental Professionals, PC |
| NPI issued | Feb 5, 2024 |
| Last updated in NPPES | Feb 5, 2024 |
| Certified by provider | Feb 2, 2024 |
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 |
|---|
Other general dentists in Dacula
- 1003492281
- 1093142432
- 1144304833
- 1326577420
- 1467631465
- 1538379441
- 1013388552
- 1093283715
- 1285040527
- 1336283571
- 1376856971
- 1588468839
All 24 general dentists in Dacula · All general dentists in Georgia