Michael O. Vernon, Dmd, Pc
LBN: Augusta Dental Associates, Llc
Michael O. Vernon, Dmd, Pc is an health care organization with primary practice located at 1218 Augusta West Parkway , Augusta GA 30909-1808. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Augusta Dental Associates, Llc can be contacted via phone (706) 860-0518, or through Moldovan, Christopher Michael via phone (706) 860-0518.
Contact Information
Primary practice address
1218 Augusta West Parkway
Augusta GA 30909-1808
Phone: (706) 860-0518
Fax: (706) 860-4902
Website:
Authorized official contact:
Name: Moldovan, Christopher Michael Doctor of Dental Medicine (DMD)
Phone: (706) 860-0518
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 012377 | Georgia |
| Dental Providers / General Practice | 1223G0001X | 8815 | Georgia |
Profile Details
| NPI number | 1619901808 |
|---|---|
| LBN Legal business name | Augusta Dental Associates, Llc |
| DBA Doing business as | Michael O. Vernon, Dmd, Pc |
| Authorized official | Moldovan, Christopher Michael Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 14th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619901808 | NPPES |
| Georgia | MEDICAID | 00922655A | |
| Georgia | MEDICAID | 00137948B |
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