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:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (706) 790-9302

Health care specialties

SpecialtyCodeLicense #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 10 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 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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