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Georgia Dental Professionals, PC

General Practice Dentistry in Suwanee, GA · enumerated 2012 · authorized official Kendra Walker, Credentialing Team Lead.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083978555

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Registry record

Entity type Organization (Type 2)
Legal business name Georgia Dental Professionals, PC
Other name <Unavail>
Parent organization Georgia Dental Professionals, PC
Practice address 4355 Suwanee Dam Rd, Suwanee, GA, 30024
Phone (770) 614-7300
Fax (770) 614-7911
Enumeration date Jun 29, 2012
Last updated in NPPES Nov 7, 2016

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Kendra Walker
Title Credentialing Team Lead
Phone (217) 540-8312

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Georgia Dental Professionals, PC?
NPPES lists Kendra Walker (Credentialing Team Lead) as the authorized official for this organization.
What is the NPI number for Georgia Dental Professionals, PC?
The NPI for Georgia Dental Professionals, PC is 1083978555, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-07.