| Augusta Orthodontic Center Pc | |
|
580 Blue Ridge Drive Evans GA 30809-3604 | |
| (706) 855-9903 | |
| (706) 855-9861 |
| Full Name | Augusta Orthodontic Center Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 580 Blue Ridge Drive, Evans, Georgia |
| Authorized Official Name and Position | James Dennis Metts (OWNER) |
| Authorized Official Contact | 7068559903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Orthodontic Center Pc 580 Blue Ridge Drive Evans GA 30809-3604 Ph: (706) 855-9903 | Augusta Orthodontic Center Pc 580 Blue Ridge Drive Evans GA 30809-3604 Ph: (706) 855-9903 |
| NPI Number | 1316015563 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316015563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 06988 (Georgia) | Primary |
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