| Michael Ridlehoover DMD LLC | |
|
2926 Professional Pkwy Augusta GA 30907-6530 | |
| (706) 814-8492 | |
| Not Available |
| Full Name | Michael Ridlehoover DMD LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2926 Professional Pkwy, Augusta, Georgia |
| Authorized Official Name and Position | Michael Ridlehoover (OWNER) |
| Authorized Official Contact | 7068148492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ridlehoover DMD LLC 408 Park Way Drive Martinez GA 30907-1565 | Michael Ridlehoover DMD LLC 2926 Professional Pkwy Augusta GA 30907-6530 Ph: (706) 814-8492 |
| NPI Number | 1538865910 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538865910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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