| Smile Center Of Augusta, Llc | |
|
2504 Peach Orchard Rd Augusta GA 30906-2404 | |
| (706) 798-8300 | |
| Not Available |
| Full Name | Smile Center Of Augusta, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2504 Peach Orchard Rd, Augusta, Georgia |
| Authorized Official Name and Position | Nicholas D Johnson (PRESIDENT) |
| Authorized Official Contact | 4044325059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Center Of Augusta, Llc 2504 Peach Orchard Rd Augusta GA 30906-2404 Ph: (706) 798-8300 | Smile Center Of Augusta, Llc 2504 Peach Orchard Rd Augusta GA 30906-2404 Ph: (706) 798-8300 |
| NPI Number | 1366754376 |
|---|---|
| Provider Enumeration Date | 07/07/2010 |
| Last Update Date | 07/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366754376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013366 (Georgia) | Primary |
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