| Georgia Dental Alliance Of Augusta | |
|
3643 Walton Way Ext Augusta GA 30909-4507 | |
| (404) 410-1340 | |
| Not Available |
| Full Name | Georgia Dental Alliance Of Augusta |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3643 Walton Way Ext, Augusta, Georgia |
| Authorized Official Name and Position | Jennifer Tomlinson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6789867116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Dental Alliance Of Augusta 3643 Walton Way Ext Augusta GA 30909-4507 Ph: () - | Georgia Dental Alliance Of Augusta 3643 Walton Way Ext Augusta GA 30909-4507 Ph: (404) 410-1340 |
| NPI Number | 1093488132 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093488132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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