Bridgeport River Dental Pc
Dental Anesthesiology Clinic
1631 Gordon Hwy Ste 22, Augusta
Georgia, 30906-2230
706-790-9302 706-739-4706
Maps & DirectionsBridgeport River Dental Pc is a Dental Anesthesiology Clinic in Augusta, Georgia. It is located at 1631 Gordon Hwy Ste 22, Augusta, GA and its contact number is 706-790-9302. The authorized person for Bridgeport River Dental Pc is Michelle Jacomino
who is Director Of Payor Relations of the clinic and their contact number is 770-916-9000.
Bridgeport River Dental Pc Clinic dentists have successfully completed an accredited postdoctoral anesthesiology residency training program of two or more years duration, in accord with Commission on Dental AccreditationÃs Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Complete Clinic Profile:
Bridgeport River Dental Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bridgeport River Dental Pc |
| Specialization: | Dental Anesthesiology |
| Clinic Address: | 1631 Gordon Hwy Ste 22, Augusta, Georgia, 30906-2230 |
| Phone: | 706-790-9302 |
| Fax: | 706-739-4706 |
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: | Michelle Jacomino |
| Position: | Director Of Payor Relations |
| Contact Number: | 770-916-9000 |
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 Bridgeport River Dental Pc clinic are as mentioned below.
| NPI Number: | 1346898293 |
| NPI Enumeration Date: | 03 Sep, 2019 |
| NPI Last Update On: | 03 Sep, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bridgeport River Dental Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Dentist Anesthesiologist | | | Secondary | |
| Endodontics | | | Secondary | |
| Pediatric Dentistry | | | Secondary | |
| Periodontics | | | Secondary | |
| Oral and Maxillofacial Surgery | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bridgeport River Dental Pc 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia |
| Zip: | 30067-6407 |
| Phone Number: | 770-916-9000 |
| Fax Number: | -- |
Patients can reach Bridgeport River Dental Pc at
1631 Gordon Hwy Ste 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.