Downtown Dental LLC

NPI #1073700464 in Augusta, Georgia

Provider Information

NPI Number: 1073700464
Entity Type: Organization
Organization Name: Downtown Dental LLC
Primary Specialty: Dentist
Enumeration Date: Sep 28, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 1162 BROAD STREET
City: Augusta
State: Georgia
ZIP Code: 30901
Phone: (706) 724-0544

Authorized Official

Name: DR. JUANITA SHIRLEY ADKINS, DMD
Title: OWNER DENTIST
Phone: (706) 724-0544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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