Augusta Oral Surgery Specialists Pc

LBN: Augusta Oral Surgery Specialists Pc
Augusta Oral Surgery Specialists Pc is an health care organization with primary practice located at 3736 Walton Way Ext , Augusta GA 30907-2402. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Augusta Oral Surgery Specialists Pc can be contacted via phone (706) 228-3100, or through D'Arco, Samuel C via phone (706) 228-3100.

Contact Information

Primary practice address
3736 Walton Way Ext Augusta GA 30907-2402
Phone: (706) 228-3100
Fax: (706) 228-3707
Website:
Map and Directions
Authorized official contact:
Name: D'Arco, Samuel C Doctor of Dental Surgery (DDS)
Phone: (706) 228-3100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN011130 Georgia

Profile Details

NPI number 1861670143
LBN Legal business name Augusta Oral Surgery Specialists Pc
DBA Doing business as
Authorized official D'Arco, Samuel C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2008
Last updated Oct 30th, 2012 - about 12 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861670143 NPPES
Georgia MEDICAID 00707407B
Georgia Other 19NCCCT

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