Organization · NPI-2
Affordable Dentures - Augusta, P.C.
Dentist · Augusta, GA
NPI number1932243052
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1932243052
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures - Augusta, P.C.
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN009210 | GA | Yes |
Practice location
1332 Augusta West PkwyAugusta, GA 30909-6427
Phone 706-869-1818
Mailing address
1332 Augusta West PkwyAugusta, GA 30909-6427
Phone 706-869-1818
Authorized official
Bradford R Thompson
Owner
7068691818
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