Oral Surgery Of West Augusta Pc
LBN: Oral Surgery Of West Augusta Pc
Oral Surgery Of West Augusta Pc is an health care organization with primary practice located at 3634 Wheeler Rd , Augusta GA 30909-6518. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty.
Oral Surgery Of West Augusta Pc can be contacted via phone (706) 860-8228, or through Sidow, Boris J via phone (706) 860-8228.
Contact Information
Primary practice address
3634 Wheeler Rd
Augusta GA 30909-6518
Phone: (706) 860-8228
Fax: (706) 860-7222
Website:
Authorized official contact:
Name: Sidow, Boris J Doctor of Dental Surgery (DDS)
Phone: (706) 860-8228
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DN013478 | Georgia |
Profile Details
| NPI number | 1538571435 |
|---|---|
| LBN Legal business name | Oral Surgery Of West Augusta Pc |
| DBA Doing business as | |
| Authorized official | Sidow, Boris J Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2014 |
| Last updated | May 27th, 2014 - about 11 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 | 1538571435 | NPPES |
| Other | 000848645 | TRICARE ACTIVE DUTY DENTAL PLAN | |
| Other | 000425742 | TRICARE ACTIVE DUTY DENTAL PLAN | |
| MEDICAID | 111331508B | TRICARE ACTIVE DUTY DENTAL PLAN | |
| MEDICAID | 000056438C | TRICARE ACTIVE DUTY DENTAL PLAN | |
| Other | 002068046 | TRICARE ACTIVE DUTY DENTAL PLAN | |
| MEDICAID | 000056427C | TRICARE ACTIVE DUTY DENTAL PLAN |
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