OrganizationActive
Georgia Dental Professionals, PC
NPI 1922409945 · General Practice Dentistry · Gainesville, GA
Georgia Dental Professionals, PC is a General Practice Dentistry organization in Gainesville, GA (NPI 1922409945).
Provider details
- NPI number
- 1922409945
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Georgia Dental Professionals, PC
- Organization subpart
- Yes
- Authorized official
- Kim Wilson, Cred Supervisor(217) 540-5170
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
615 Green St Nw
Gainesville, GA 30501-3378
Phone: (770) 532-2336
Fax: (770) 536-3905
Approximate (ZIP-level) locationGet directions
Mailing address
615 Green St Nw
Gainesville, GA 30501-3378
Other names (DBA / former)
- Doing business as
- Green Street Smiles
Registry dates
- Enumerated
- 2014-09-09
- Last updated
- 2014-09-09
Frequently asked questions
- What is Georgia Dental Professionals, PC's NPI number?
- Georgia Dental Professionals, PC's National Provider Identifier (NPI) is 1922409945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Dental Professionals, PC?
- Georgia Dental Professionals, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Georgia Dental Professionals, PC located?
- Georgia Dental Professionals, PC's practice location on file with NPPES is 615 Green St Nw, Gainesville, GA 30501-3378.
- What is Georgia Dental Professionals, PC's phone number?
- The practice phone number listed in the NPPES registry for Georgia Dental Professionals, PC is (770) 532-2336.
- Who is the authorized official for Georgia Dental Professionals, PC?
- The authorized official listed on Georgia Dental Professionals, PC's NPPES record is Kim Wilson, Cred Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Dental Professionals, PC's NPI active?
- Yes — Georgia Dental Professionals, PC's NPI (1922409945) is active in the NPPES registry as of the last update on 2014-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.