Organization · NPI-2
Affordable Dentures & Implants - East Augusta, P.C.
Dentist, General Practice · Augusta, GA
NPI number1114507639
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1114507639
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - East Augusta, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 9, 2021
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1139 Greene StAugusta, GA 30901-2125
Phone 706-721-4288
Mailing address
1139 Greene StAugusta, GA 30901-2125
Phone 706-721-4288
Authorized official
Charvette Monroe
Owner
7067214288
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