CENTER FOR PEDIATRIC DENTISTRY LLC NPI 1164490918

NPI Information

CENTER FOR PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Augusta, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CENTER FOR PEDIATRIC DENTISTRY, LLC NPI is 1164490918. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Center For Pediatric Dentistry, Pc.

The provider's business location address is:

1243 AUGUSTA WEST PKWY
AUGUSTA, GA
ZIP 30909-807
Phone: (706) 855-8989
Fax: (706) 855-0321

The provider's authorized official is Mary Shirley .
The authorized official title is Administrator and has the following contact phone number (706) 855-8989.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 1/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.