| Augusta Oral Surgery Specialists Pc | |
|
3736 Walton Way Ext Augusta GA 30907-2402 | |
| (706) 228-3100 | |
| (706) 228-3707 |
| Full Name | Augusta Oral Surgery Specialists Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3736 Walton Way Ext, Augusta, Georgia |
| Authorized Official Name and Position | Samuel C D'arco (OWNER) |
| Authorized Official Contact | 7062283100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Oral Surgery Specialists Pc 3736 Walton Way Ext Augusta GA 30907-2402 Ph: (706) 228-3100 | Augusta Oral Surgery Specialists Pc 3736 Walton Way Ext Augusta GA 30907-2402 Ph: (706) 228-3100 |
| NPI Number | 1861670143 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861670143 | NPI | - | NPPES |
| 00707407B | Medicaid | GA | |
| 19NCCCT | Other | GA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN011130 (Georgia) | Primary |
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