Healthcare Provider Details

I. General information

NPI: 1104737246
Provider Name (Legal Business Name): AFFORDABLE DENTURES & IMPLANTS - DAWSONVILLE II, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1078 LUMPKIN CAMPGROUND RD S STE 300
DAWSONVILLE GA
30534-0988
US

IV. Provider business mailing address

1078 LUMPKIN CAMPGROUND RD S STE 300
DAWSONVILLE GA
30534-0988
US

V. Phone/Fax

Practice location:
  • Phone: 706-429-9991
  • Fax:
Mailing address:
  • Phone: 706-429-9991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: GREGORY TAYLOR
Title or Position: MANAGING DENTIST
Credential: DDS
Phone: 706-429-9991