| Augusta Advanced Dentistry Llc | |
|
2926 Professional Pkwy Augusta GA 30907-6530 | |
| (706) 860-0575 | |
| (706) 860-4186 |
| Full Name | Augusta Advanced Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2926 Professional Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Andrew Earl Richardson (DENTIST) |
| Authorized Official Contact | 7068600575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Advanced Dentistry Llc 2926 Professional Pkwy Augusta GA 30907-6530 Ph: (706) 860-0575 | Augusta Advanced Dentistry Llc 2926 Professional Pkwy Augusta GA 30907-6530 Ph: (706) 860-0575 |
| NPI Number | 1184209660 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184209660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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