Center For Pediatric Dentistry, Llc in Augusta - Pediatric Dentistry
Center For Pediatric Dentistry, Llc - NPI 1164490918
Center For Pediatric Dentistry, Llc is a Pediatric Dentistry in Augusta, Georgia. Center For Pediatric Dentistry, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Center For Pediatric Dentistry, Llc is 1164490918. The last update date is 2021-01-18.
Center For Pediatric Dentistry, Llc's current location address is 1243 Augusta West Pkwy, Augusta, Georgia. You can contact this provider via phone number 7068558989 and fax number 7068550321. The mailing address for Center For Pediatric Dentistry, Llc is 1243 Augusta West Pkwy, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center For Pediatric Dentistry, Llc |
|---|---|
| Address | 1243 Augusta West Pkwy, Augusta, Georgia |
| Phone Number | 7068558989 |
| Fax Number | 7068550321 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Shirley Mary |
| Telephone Number | 7068558989 |
NPI Number Detail
| NPI Number | 1164490918 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2021-01-18 |
Provider Mailing Address Detail
| Address | 1243 Augusta West Pkwy |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309091807 |
| Phone Number | 7068558989 |
| Fax Number | 7068550321 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 11680 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 945328611A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Center For Pediatric Dentistry, Llc by the Centers for Medicare & Medicaid Services?
The Center For Pediatric Dentistry, Llc has been issued the NPI (National Provider Identifier) 1164490918. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Center For Pediatric Dentistry, Llc?
The Center For Pediatric Dentistry, Llc is situated at 1243 Augusta West Pkwy, in the city of Augusta, state of GA, with the zip code 309091807.
What is Center For Pediatric Dentistry, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Center For Pediatric Dentistry, Llc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When did the Center For Pediatric Dentistry, Llc receive its 1164490918?
The Center For Pediatric Dentistry, Llc was issued its 1164490918 on 2006-03-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Center For Pediatric Dentistry, Llc last refreshed?
The information related to the Center For Pediatric Dentistry, Llc, including its address, specialty, and other relevant details, was last updated on 2021-01-18.
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