Augusta Orthodontic Center Pc in Evans - Dental
Augusta Orthodontic Center Pc - NPI 1316015563
Augusta Orthodontic Center Pc is a Dental in Evans, Georgia. Augusta Orthodontic Center Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Augusta Orthodontic Center Pc is 1316015563. The last update date is 2020-08-22.
Augusta Orthodontic Center Pc's current location address is 580 Blue Ridge Drive, Evans, Georgia. You can contact this provider via phone number 7068559903 and fax number 7068559861. The mailing address for Augusta Orthodontic Center Pc is 580 Blue Ridge Drive, Evans, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Augusta Orthodontic Center Pc |
|---|---|
| Address | 580 Blue Ridge Drive, Evans, Georgia |
| Phone Number | 7068559903 |
| Fax Number | 7068559861 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Metts Dennis James |
| Credentials | DDS |
| Telephone Number | 7068559903 |
NPI Number Detail
| NPI Number | 1316015563 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 580 Blue Ridge Drive |
|---|---|
| City | Evans |
| State | Georgia (GA) |
| Post Code | 308093604 |
| Phone Number | 7068559903 |
| Fax Number | 7068559861 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 6988 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code issued to Augusta Orthodontic Center Pc by the Centers for Medicare & Medicaid Services?
The Augusta Orthodontic Center Pc has been assigned the NPI (National Provider Identifier) 1316015563 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Augusta Orthodontic Center Pc is located?
The Augusta Orthodontic Center Pc is situated at the following address: 580 Blue Ridge Drive, Evans, GA, 308093604.
What is Augusta Orthodontic Center Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Augusta Orthodontic Center Pc's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date did the Augusta Orthodontic Center Pc receive its 1316015563 assignment from the Centers for Medicare & Medicaid Services?
The Augusta Orthodontic Center Pc was assigned its 1316015563 by the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the information regarding Augusta Orthodontic Center Pc most recently updated?
The details pertaining to the Augusta Orthodontic Center Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC