Georgia Dental Outreach Pc is a Dental Clinic in Conyers, Georgia. It is located at 1816 Lakefield Ct Se Ste A, Conyers, GA and its contact number is 888-833-8441. The authorized person for Georgia Dental Outreach Pc is Paul Spurgeon
who is Credentialing of the clinic and their contact number is 888-833-8441.
Georgia Dental Outreach Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Georgia Dental Outreach Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Georgia Dental Outreach Pc |
| Specialization: | Dentistry |
| Clinic Address: | 1816 Lakefield Ct Se Ste A, Conyers,
Georgia, 30013-6609 |
| Phone: | 888-833-8441 |
| Fax: | 888-373-9612 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Paul Spurgeon |
| Position: | Credentialing |
| Contact Number: | 888-833-8441 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Georgia Dental Outreach Pc clinic are as mentioned below.
| NPI Number: | 1679551790 |
| NPI Enumeration Date: | 09 Jan, 2006 |
| NPI Last Update On: | 28 Apr, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Georgia Dental Outreach Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 300031658A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Georgia Dental Outreach Pc
1816 Lakefield Ct Se Ste A,
Conyers, Georgia |
| Zip: | 30013-6609 |
| Phone Number: | 888-833-8441 |
| Fax Number: | 888-373-9612 |
Patients can reach Georgia Dental Outreach Pc at
1816 Lakefield Ct Se Ste A, Conyers, Georgia or can
call to book an appointment on 888-833-8441.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.