Augusta Smiles Youth Dentistry, Pc
LBN: Augusta Smiles Youth Dentistry, Pc
Augusta Smiles Youth Dentistry, Pc is an health care organization with primary practice located at 1631 Gordon Hwy Suite #22, Augusta GA 30906-2292. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Augusta Smiles Youth Dentistry, Pc can be contacted via phone (706) 790-9302, or through Stump, Jenell via phone (706) 790-9302.
Contact Information
Primary practice address
1631 Gordon Hwy Suite #22
Augusta GA 30906-2292
Phone: (706) 790-9302
Fax: (706) 790-9303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X |
Profile Details
NPI number | 1033184643 |
---|---|
LBN Legal business name | Augusta Smiles Youth Dentistry, Pc |
DBA Doing business as | |
Authorized official | Stump, Jenell |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 18th, 2006 |
Last updated | Mar 26th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033184643 | NPPES |
Georgia | Other | 1770568 | UNITED CONCORDIA |
Georgia | MEDICAID | 302137931A | UNITED CONCORDIA |
Georgia | MEDICAID | ZAG978 | UNITED CONCORDIA |
Georgia | Other | 539114 | UNITED CONCORDIA |
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