| Parkway Periodontics, Laser and Implant Dentistry | |
|
1238 Augusta West Pkwy Augusta GA 30909-1854 | |
| (706) 868-0246 | |
| Not Available |
| Full Name | Parkway Periodontics, Laser and Implant Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1238 Augusta West Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Casey Castle (DIRECTOR OF PAYOR CONTRACTING) |
| Authorized Official Contact | 9127321504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Periodontics, Laser and Implant Dentistry 1238 Augusta West Pkwy Augusta GA 30909-1854 Ph: (706) 868-0246 | Parkway Periodontics, Laser and Implant Dentistry 1238 Augusta West Pkwy Augusta GA 30909-1854 Ph: (706) 868-0246 |
| NPI Number | 1699535963 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 02/23/2026 |
| Certification Date | 02/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699535963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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