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Contact Information

ILANIT A STERN, DMD
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA30912-1001
 Phone: 706-721-0406
 Fax: 706-721-4937
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral Medicinist

125Q00000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ILANIT A STERN · (Female)

NPI # 1912231655
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 09/29/2009
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # DNF000353
  • GA Medicaid 581970938A
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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