Michael Ridlehoover Dmd Llc | |
2926 Professional Pkwy Augusta GA 30907-6530 | |
(706) 814-8492 | |
Not Available |
Full Name | Michael Ridlehoover Dmd Llc |
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Speciality | Dentist - General Practice |
Location | 2926 Professional Pkwy, Augusta, Georgia |
Authorized Official Name and Position | Michael Ridlehoover (OWNER) |
Authorized Official Contact | 7068148492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael Ridlehoover Dmd Llc 408 Park Way Drive Martinez GA 30907-1565 Ph: () - | Michael Ridlehoover Dmd Llc 2926 Professional Pkwy Augusta GA 30907-6530 Ph: (706) 814-8492 |
NPI Number | 1538865910 |
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Provider Enumeration Date | 02/06/2023 |
Last Update Date | 02/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538865910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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