Dr. Jamie Ann De Stefano, DMD, PhD
Dentist in Augusta, GA. Individual provider (NPI-1).
NPI number1114156643
StatusActive
Last updated in NPPESJul 6, 2009
Details
- NPI
- 1114156643
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jamie Ann De Stefano
- Credential
- DMD, PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2009
- Last updated
- Jul 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN012409 | GA | Yes |
| 122300000X | Dentist | 8157 | KY |
Practice location
1459 Laney Walker BlvdMcg Sod Ad 2809
Augusta, GA 30912-2809
Phone 706-721-2441
Mailing address
7 Eagle Pointe DrAugusta, GA 30909-6057
Phone 706-667-6778 · Fax 706-667-6778
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All 112 Dentist providers in Augusta · All 8,576 providers in Augusta
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