Georgia Dental Professionals, PC
NPI 1992861637ActiveOrganization· Dentist, General Practice· Decatur, GA
Dentist, General Practice in Decatur, Georgia, registered in NPPES in December 2006. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1992861637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Aug 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7624 | 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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