| Terrence L Vandiver, | |
|
1631 Gordon Hwy, #22, Augusta, GA 30906-2292 | |
| (706) 790-9302 | |
| (706) 790-9303 |
| Full Name | Terrence L Vandiver |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1631 Gordon Hwy, Augusta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306811914 | NPI | - | NPPES |
| ZX3827 | Medicaid | SC | |
| 747629278A | Medicaid | GA | |
| 9180178 | Other | GA | DENTAQUEST |
| 2670243 | Other | GA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012433 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 3827 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Terrence L Vandiver, 1631 Gordon Hwy, #22, Augusta, GA 30906-2292 Ph: (706) 790-9302 | Terrence L Vandiver, 1631 Gordon Hwy, #22, Augusta, GA 30906-2292 Ph: (706) 790-9302 |
Dr. Geoffrey Allen Thompson, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778 | |
Dr. Steven Kent Nelson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912 Phone: 706-721-0502 Fax: 706-721-6778 | |
Dr. John S. Blalock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 3606 Wheeler Rd., Augusta, GA 30909 Phone: 706-481-8811 Fax: 706-481-8507 | |
Dr. Theodore D Ravenel V, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778 | |
Dr. Logan Nalley Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3643 Walton Way Ext, Bldg. 1, Augusta, GA 30909 Phone: 706-733-8641 Fax: 706-733-8615 | |
Dr. Tobin Trotter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 Pleasant Home Rd, Augusta, GA 30907 Phone: 706-860-2442 | |
Dr. Eyitemi Elete, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3456 Wrightsboro Rd, Augusta, GA 30909 Phone: 706-251-7917 |