Georgia Dental Professionals, PC
NPI 1215315312ActiveOrganization· Dentist, General Practice· Tucker, GA
Dentist, General Practice in Tucker, Georgia, registered in NPPES in May 2015, part of Georgia Dental Professionals, PC. The authorized official on file is Kim Wilson, Cred Sup.
Overview
| NPI | 1215315312 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Dental Professionals, PC |
| NPI issued | May 11, 2015 |
| Last updated in NPPES | May 11, 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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