Georgia Dental Professionals, PC
NPI 1396135216ActiveOrganization· Dentist, General Practice· Pooler, GA
Dentist, General Practice in Pooler, Georgia, registered in NPPES in January 2015, part of Georgia Dental Professionals, PC. The authorized official on file is Kendra Walker, Credentialing Coordinator.
Overview
| NPI | 1396135216 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Dental Professionals, PC |
| NPI issued | Jan 30, 2015 |
| Last updated in NPPES | May 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN012289 | GA |
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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