| Au Dental Associates Dental College Of Ga | |
|
1430 John Wesley Gilbert Drive Augusta GA 30912-1001 | |
| (706) 721-2371 | |
| Not Available |
| Full Name | Au Dental Associates Dental College Of Ga |
|---|---|
| Speciality | Dentist |
| Location | 1430 John Wesley Gilbert Drive, Augusta, Georgia |
| Authorized Official Name and Position | Darrell Gentry (ASSOCIATE DEAN, FINANCE / BUSINESS) |
| Authorized Official Contact | 7067212103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Au Dental Associates Dental College Of Ga 1430 John Wesley Gilbert Drive Gc-1012 Augusta GA 30912-0004 Ph: (706) 721-7913 | Au Dental Associates Dental College Of Ga 1430 John Wesley Gilbert Drive Augusta GA 30912-1001 Ph: (706) 721-2371 |
| NPI Number | 1457541781 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 7810988607 |
|---|---|
| Medicare Enrollment ID | O20040520000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457541781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 000179 (Georgia) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Rafik A Abdelsayed |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902854110 PECOS PAC ID: 0244375756 Enrollment ID: I20100309000414 |
| Provider Name | Stevin A Dubin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801987441 PECOS PAC ID: 8325234057 Enrollment ID: I20101120000163 |
| Provider Name | Ilanit Almog Stern |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912231655 PECOS PAC ID: 8527232248 Enrollment ID: I20111115000553 |
| Provider Name | Zoya Kurago |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366546376 PECOS PAC ID: 3375780109 Enrollment ID: I20130514000669 |
| Provider Name | Marshall Newman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1467868901 PECOS PAC ID: 3870892151 Enrollment ID: I20200708003099 |
| Provider Name | Cynthia Lea-hardin Hipp |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528176567 PECOS PAC ID: 4688092489 Enrollment ID: I20200910002003 |
| Provider Name | Alan R Furness |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093793465 PECOS PAC ID: 9032415153 Enrollment ID: I20210226001166 |
| Provider Name | Kim Lee Capehart |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568478907 PECOS PAC ID: 9133525140 Enrollment ID: I20210831000179 |
| Provider Name | Scarlet Beatriz Charmelo Silva |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669995593 PECOS PAC ID: 4880021302 Enrollment ID: I20220125002197 |
| Provider Name | Lisa G Marin |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1578659967 PECOS PAC ID: 8022259712 Enrollment ID: I20230807001086 |
| Provider Name | William Randall Bachand |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457390205 PECOS PAC ID: 1658679725 Enrollment ID: I20230814002271 |
| Provider Name | Allison Kathleen Buchanan |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1972581981 PECOS PAC ID: 2365749314 Enrollment ID: I20240126002707 |
| Provider Name | Sajitha Menon Kalathingal |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Radiology |
| Provider Identifiers | NPI Number: 1093766222 PECOS PAC ID: 4587727870 Enrollment ID: I20240129000706 |
Durst & Jones Family Dental, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 Washington Rd, Augusta, GA 30904 Phone: 706-736-7146 Fax: 706-736-9938 | |
Augusta Smiles Youth Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1631 Gordon Hwy, Suite #22, Augusta, GA 30906 Phone: 706-790-9302 Fax: 706-790-9303 | |
Element Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3456 Wrightsboro Rd, Augusta, GA 30909 Phone: 706-251-7917 | |
David R. Thomason, D.m.d.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3136 Deans Bridge Rd, Augusta, GA 30906 Phone: 706-790-3011 | |
Downtown Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1162 Broad Street, Augusta, GA 30901 Phone: 706-724-0544 Fax: 706-724-0545 | |
Bela Family Dentistry Of Augusta Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 Washington Rd, Augusta, GA 30904 Phone: 315-460-6491 | |
Georgia Dental Alliance Of Augusta Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3643 Walton Way Ext, Augusta, GA 30909 Phone: 404-410-1340 |