Center For Pediatric Dentistry, Llc is a Pediatric Dental Clinic in Augusta, Georgia. It is located at 1243 Augusta West Pkwy, Augusta, GA and its contact number is 706-855-8989. The authorized person for Center For Pediatric Dentistry, Llc is Ms. Mary Shirley
who is Administrator of the clinic and their contact number is 706-855-8989. The primary license number for Center For Pediatric Dentistry, Llc is 11680 (Pediatric Dentistry) in Georgia. Center For Pediatric Dentistry, Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Center For Pediatric Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Center For Pediatric Dentistry, Llc
Specialization:
Pediatric Dentistry
Clinic Address:
1243 Augusta West Pkwy, Augusta, Georgia, 30909-1807
Phone:
706-855-8989
Fax:
706-855-0321
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:
Ms. Mary Shirley
Position:
Administrator
Contact Number:
706-855-8989
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 Center For Pediatric Dentistry, Llc clinic are as mentioned below.
NPI Number:
1164490918
NPI Enumeration Date:
09 Mar, 2006
NPI Last Update On:
18 Jan, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Center For Pediatric Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
11680
Georgia
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
945328611A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Center For Pediatric Dentistry, Llc 1243 Augusta West Pkwy, Augusta, Georgia
Zip:
30909-1807
Phone Number:
706-855-8989
Fax Number:
706-855-0321
Patients can reach Center For Pediatric Dentistry, Llc at 1243 Augusta West Pkwy, Augusta, Georgia or can call to book an appointment on 706-855-8989. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.