AUGUSTA ORAL SURGERY SPECIALISTS PC NPI 1861670143

NPI Information

  • NPI: 1861670143
  • Provider Name: AUGUSTA ORAL SURGERY SPECIALISTS PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 3736 WALTON WAY EXT
    AUGUSTA, GA
    ZIP 30907
  • Phone: (706) 228-3100

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NPI Details

AUGUSTA ORAL SURGERY SPECIALISTS PC is an oral and maxillofacial surgery dentist in Augusta, GA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. AUGUSTA ORAL SURGERY SPECIALISTS PC NPI is 1861670143. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3736 WALTON WAY EXT
AUGUSTA, GA
ZIP 30907-402
Phone: (706) 228-3100
Fax: (706) 228-3707

The provider's authorized official is Samuel C D'arco .
The authorized official title is Owner and has the following contact phone number (706) 228-3100.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 10/30/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDN011130GEORGIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
119NCCCTOTHERGEORGIAMEDICARE ID
2U65054MEDICARE UPINGEORGIA
300707407BMEDICAIDGEORGIA

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: 11/21/2025

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