Rainge Family Dental, Pc

LBN: Rainge Family Dental, Pc
Rainge Family Dental, Pc is an health care organization with primary practice located at 2139 Lumpkin Rd , Augusta GA 30906-3594. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Rainge Family Dental, Pc can be contacted via phone (706) 790-4060, or through Rainge, Louvenia Annette via phone (706) 790-4060.

Contact Information

Primary practice address
2139 Lumpkin Rd Augusta GA 30906-3594
Phone: (706) 790-4060
Fax: (706) 790-0762
Website:
Map and Directions
Authorized official contact:
Name: Rainge, Louvenia Annette Doctor of Dental Medicine (DMD)
Phone: (706) 790-4060

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10923 Georgia

Profile Details

NPI number 1417115882
LBN Legal business name Rainge Family Dental, Pc
DBA Doing business as
Authorized official Rainge, Louvenia Annette Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2008
Last updated Aug 13th, 2012 - about 12 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 1417115882 NPPES
Georgia Other 112037 DORAL DENTAL
Georgia MEDICAID 000433925A DORAL DENTAL
Georgia Other 746828 DORAL DENTAL

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