| Augusta Smiles Youth Dentistry | |
|
1631 Gordon Hwy Augusta GA 30906 | |
| (706) 790-9302 | |
| (706) 790-9303 |
| Full Name | Augusta Smiles Youth Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1631 Gordon Hwy, Augusta, Georgia |
| Authorized Official Name and Position | Linda Susan Zoeller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6159882627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Smiles Youth Dentistry 401 Church St Ste 2210 Nashville TN 37219-2204 Ph: (615) 988-2627 | Augusta Smiles Youth Dentistry 1631 Gordon Hwy Augusta GA 30906 Ph: (706) 790-9302 |
| NPI Number | 1215487467 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215487467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN015152 (Georgia) | Primary |
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