ORAL SURGERY OF WEST AUGUSTA PC AUGUSTA, GA

Contact Information

ORAL SURGERY OF WEST AUGUSTA PC

3634 WHEELER RD
AUGUSTA, GA 30909-6518

Phone: 706-860-8228
Fax: 706-860-7222
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for ORAL SURGERY OF WEST AUGUSTA PC · (Female)

NPI #	`1538571435`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/27/2014
Last updated	05/27/2014 - About 12 years ago
Sole proprietor ¹	Not specified
Identifiers	GA License # DN013478 GA Medicaid 000056427C GA Medicaid 000056438C GA Medicaid 111331508B Other 000425742 TRICARE ACTIVE DUTY DENTAL PLAN Other 000848645 TRICARE ACTIVE DUTY DENTAL PLAN Other 002068046 TRICARE ACTIVE DUTY DENTAL PLAN
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ORAL SURGERY OF WEST AUGUSTA PCOral & Maxillofacial Surgery

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for ORAL SURGERY OF WEST AUGUSTA PC · (Female)

Reviews for ORAL SURGERY OF WEST AUGUSTA PC

ORAL SURGERY OF WEST AUGUSTA PC
Oral & Maxillofacial Surgery