Augusta Oral Surgery Specialists Pc in Augusta - Oral And Maxillofacial Surgery
Augusta Oral Surgery Specialists Pc - NPI 1861670143
Augusta Oral Surgery Specialists Pc is a Oral And Maxillofacial Surgery in Augusta, Georgia. Augusta Oral Surgery Specialists Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Augusta Oral Surgery Specialists Pc is 1861670143. The last update date is 2012-10-30.
Augusta Oral Surgery Specialists Pc's current location address is 3736 Walton Way Ext, Augusta, Georgia. You can contact this provider via phone number 7062283100 and fax number 7062283707. The mailing address for Augusta Oral Surgery Specialists Pc is 3736 Walton Way Ext, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Augusta Oral Surgery Specialists Pc |
|---|---|
| Address | 3736 Walton Way Ext, Augusta, Georgia |
| Phone Number | 7062283100 |
| Fax Number | 7062283707 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | D'Arco C Samuel |
| Credentials | DDS |
| Telephone Number | 7062283100 |
NPI Number Detail
| NPI Number | 1861670143 |
|---|---|
| Provider Enumeration Date | 2008-02-08 |
| Last Updated Date | 2012-10-30 |
Provider Mailing Address Detail
| Address | 3736 Walton Way Ext |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309072402 |
| Phone Number | 7062283100 |
| Fax Number | 7062283707 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN011130 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00707407B | GA | -- | |
| 19NCCCT | GA | MEDICARE ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Augusta Oral Surgery Specialists Pc?
The Augusta Oral Surgery Specialists Pc has been issued the NPI (National Provider Identifier) 1861670143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Augusta Oral Surgery Specialists Pc's physical address?
The Augusta Oral Surgery Specialists Pc is physically located at 3736 Walton Way Ext, in the city of Augusta, GA, with the postal code 309072402.
What is Augusta Oral Surgery Specialists Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Augusta Oral Surgery Specialists Pc is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861670143 to Augusta Oral Surgery Specialists Pc?
The Centers for Medicare & Medicaid Services originally issued the 1861670143 to Augusta Oral Surgery Specialists Pc on 2008-02-08.
As of what date were the Augusta Oral Surgery Specialists Pc's details last updated?
The information pertaining to the Augusta Oral Surgery Specialists Pc, including its address, specialty, and other details, was most recently updated on 2012-10-30.
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