D'Arco, Samuel Christopher

D'Arco, Samuel Christopher is an individual health care provider with primary practice located at 3736 Walton Way Ext , Augusta GA 30907-2402. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. D'Arco, Samuel Christopher can be contacted 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

Health care specialties

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

Profile Details

NPI number 1790724763
LBN Legal business name D'Arco, Samuel Christopher
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jan 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790724763 NPPES
Georgia MEDICAID 00707407B

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