Augusta Smiles Youth Dentistry, Pc
Dental Clinic
1631 Gordon Hwy, Suite #22, Augusta
Georgia, 30906-2292
706-790-9302 706-790-9303
Maps & DirectionsAugusta Smiles Youth Dentistry, Pc is a Dental Clinic in Augusta, Georgia. It is located at 1631 Gordon Hwy, Suite #22, Augusta, GA and its contact number is 706-790-9302. The authorized person for Augusta Smiles Youth Dentistry, Pc is Mrs. Jenell Stump
who is Director, Licensing & Credentialing of the clinic and their contact number is 706-790-9302. Other organizations associated with this clinic are Augusta Smiles Youth Dentistry, Pc, Gordon Highway Dental Group, Llc,
Augusta Smiles Youth Dentistry, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Augusta Smiles Youth Dentistry, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Augusta Smiles Youth Dentistry, Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1631 Gordon Hwy, Suite #22, Augusta,
Georgia, 30906-2292 |
| Phone: | 706-790-9302 |
| Fax: | 706-790-9303 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Jenell Stump |
| Position: | Director, Licensing & Credentialing |
| Contact Number: | 706-790-9302 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Augusta Smiles Youth Dentistry, Pc clinic are as mentioned below.
| NPI Number: | 1033184643 |
| NPI Enumeration Date: | 18 Feb, 2006 |
| NPI Last Update On: | 26 Mar, 2015 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Augusta Smiles Youth Dentistry, Pc | General Practice Dentistry | 1033184643 |
| Gordon Highway Dental Group, Llc | General Practice Dentistry | 1215487467 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Augusta Smiles Youth Dentistry, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1770568 | Other | Georgia | United Concordia |
| 302137931A | Medicaid | Georgia | |
| ZAG978 | Medicaid | South Carolina | |
| 539114 | Other | Georgia | Avesis Ga |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Augusta Smiles Youth Dentistry, Pc
1631 Gordon Hwy Ste 22,
Augusta, Georgia |
| Zip: | 30906-2230 |
| Phone Number: | 706-790-9302 |
| Fax Number: | 706-790-9303 |
Patients can reach Augusta Smiles Youth Dentistry, Pc at
1631 Gordon Hwy, Suite #22, Augusta, Georgia or can
call to book an appointment on 706-790-9302.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.