Georgia Dental Alliance of Augusta

NPI #1093488132 in Augusta, Georgia

Provider Information

NPI Number: 1093488132
Entity Type: Organization
Organization Name: Georgia Dental Alliance of Augusta
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 26, 2021
Last Updated: Jul 26, 2021

Practice Location

Address: 3643 WALTON WAY EXT
City: Augusta
State: Georgia
ZIP Code: 30909-4507
Phone: (404) 410-1340

Authorized Official

Name: MRS. JENNIFER TOMLINSON
Title: CREDENTIALING SPECIALIST
Phone: (678) 986-7116

Specialties & Taxonomy Codes

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

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