| Bridgeport River Dental Pc | |
|
1631 Gordon Hwy Ste 22 Augusta GA 30906-2230 | |
| (706) 790-9302 | |
| (706) 739-4706 |
| Full Name | Bridgeport River Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1631 Gordon Hwy Ste 22, Augusta, Georgia |
| Authorized Official Name and Position | Michelle Jacomino (DIRECTOR OF PAYOR RELATIONS) |
| Authorized Official Contact | 7709169000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport River Dental Pc 1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 Ph: (770) 916-9000 | Bridgeport River Dental Pc 1631 Gordon Hwy Ste 22 Augusta GA 30906-2230 Ph: (706) 790-9302 |
| NPI Number | 1346898293 |
|---|---|
| Provider Enumeration Date | 09/03/2019 |
| Last Update Date | 09/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346898293 | NPI | - | NPPES |
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