Smile Center of Augusta, LLC

NPI #1366754376 in Augusta, Georgia

Provider Information

NPI Number: 1366754376
Entity Type: Organization
Organization Name: Smile Center of Augusta, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 7, 2010
Last Updated: Jul 7, 2010

Practice Location

Address: 2504 PEACH ORCHARD RD
City: Augusta
State: Georgia
ZIP Code: 30906-2404
Phone: (706) 798-8300

Authorized Official

Name: DR. NICHOLAS D JOHNSON, D.M.D.
Title: PRESIDENT
Phone: (404) 432-5059

Specialties & Taxonomy Codes

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

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