| Augusta Endodontic Center | |
|
3636 Wheeler Rd Augusta GA 30909 | |
| (706) 869-9117 | |
| (706) 869-8836 |
| Full Name | Augusta Endodontic Center |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3636 Wheeler Rd, Augusta, Georgia |
| Authorized Official Name and Position | Emmanuel C Ngoh (OWNER) |
| Authorized Official Contact | 7068699117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Endodontic Center 3636 Wheeler Rd Augusta GA 30909 Ph: (706) 869-9117 | Augusta Endodontic Center 3636 Wheeler Rd Augusta GA 30909 Ph: (706) 869-9117 |
| NPI Number | 1154629855 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 08/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154629855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | LCB20010026537 (Georgia) | Primary |
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