Bridgeport River Dental Pc

LBN: Bridgeport River Dental Pc
Bridgeport River Dental Pc is an health care organization with primary practice located at 1631 Gordon Hwy Ste 22 , Augusta GA 30906-2230. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Bridgeport River Dental Pc can be contacted via phone (706) 790-9302, or through Jacomino, Michelle via phone (770) 916-9000.

Contact Information

Primary practice address
1631 Gordon Hwy Ste 22 Augusta GA 30906-2230
Phone: (706) 790-9302
Fax: (706) 739-4706
Website:
Map and Directions
Authorized official contact:
Name: Jacomino, Michelle
Phone: (770) 916-9000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1346898293
LBN Legal business name Bridgeport River Dental Pc
DBA Doing business as
Authorized official Jacomino, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2019
Last updated Sep 3rd, 2019 - about 5 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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