| Rainge Family Dental, Pc | |
|
2139 Lumpkin Rd Augusta GA 30906-3594 | |
| (706) 790-4060 | |
| (706) 790-0762 |
| Full Name | Rainge Family Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2139 Lumpkin Rd, Augusta, Georgia |
| Authorized Official Name and Position | Louvenia Annette Rainge (CEO) |
| Authorized Official Contact | 7067904060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainge Family Dental, Pc 2139 Lumpkin Rd Augusta GA 30906-3594 Ph: (706) 790-4060 | Rainge Family Dental, Pc 2139 Lumpkin Rd Augusta GA 30906-3594 Ph: (706) 790-4060 |
| NPI Number | 1417115882 |
|---|---|
| Provider Enumeration Date | 06/01/2008 |
| Last Update Date | 08/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417115882 | NPI | - | NPPES |
| 112037 | Other | GA | DORAL DENTAL |
| 000433925A | Medicaid | GA | |
| 746828 | Other | GA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10923 (Georgia) | Primary |
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