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DYESS PARKWAY DENTAL LLC NPI 1275898900


NPI Information

NPI: 1275898900
Provider Name: DYESS PARKWAY DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4045 JIMMIE DYESS PKWY STE 103
AUGUSTA, GA
ZIP 30909
Phone: (706) 868-4200
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DYESS PARKWAY DENTAL, LLC is a general practice dentist in Augusta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DYESS PARKWAY DENTAL, LLC NPI is 1275898900. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4045 JIMMIE DYESS PKWY STE 103
AUGUSTA, GA
ZIP 30909-492
Phone: (706) 868-4200
Fax: (706) 868-4717

The provider's authorized official is Fred M Hannan .
The authorized official title is Dentist and has the following contact phone number (706) 868-4200.

The enumeration date for this NPI number is 7/9/2012 and was last updated on 7/9/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice6539GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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