Element Dental Group LLC

NPI #1033893797 in Augusta, Georgia

Provider Information

NPI Number: 1033893797
Entity Type: Organization
Organization Name: Element Dental Group LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 13, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 3456 WRIGHTSBORO RD
City: Augusta
State: Georgia
ZIP Code: 30909-2678
Phone: (706) 251-7917

Authorized Official

Name: MICHELLE JACOMINO-BARNES
Title: DIRECTOR CREDENTIALING & ENROLLMENT
Phone: (813) 270-9497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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