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1218 Augusta West Parkway Augusta GA 30909-1808 | |
| (706) 860-0518 | |
| (706) 860-4902 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1218 Augusta West Parkway, Augusta, Georgia |
| Authorized Official Name and Position | Christopher Michael Moldovan (OWNER/DENTIST) |
| Authorized Official Contact | 7068600518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1218 Augusta West Parkway Augusta GA 30909-1808 Ph: (706) 860-0518 | 1218 Augusta West Parkway Augusta GA 30909-1808 Ph: (706) 860-0518 |
| NPI Number | 1619901808 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619901808 | NPI | - | NPPES |
| 00922655A | Medicaid | GA | |
| 00137948B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012377 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 8815 (Georgia) | Secondary |
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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 | |
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