Gordon Highway Dental Group, LLC

NPI #1215487467 in Augusta, Georgia

Provider Information

NPI Number: 1215487467
Entity Type: Organization
Organization Name: Gordon Highway Dental Group, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 12, 2016
Last Updated: Jul 5, 2018

Practice Location

Address: 1631 GORDON HWY
City: Augusta
State: Georgia
ZIP Code: 30906
Phone: (706) 790-9302

Authorized Official

Name: LINDA SUSAN ZOELLER
Title: AUTHORIZED OFFICIAL
Phone: (615) 988-2627

Specialties & Taxonomy Codes

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

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