Georgia Regents University College Of Dental Medicine Faculty Practice

NPI 1457541781 - Dentist - 122300000X

NPI Details
NPI 1457541781
Enumeration Date 08/01/2007
Last Updated 04/02/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DARRELL DARRELL
Position ASSOCIATE DEAN, FINANCE / BUSINESS
Phone (706) 721-7913
Fax (706) 723-0296
Practice Location
1430 JOHN WESLEY GILBERT DR
GC-1012
AUGUSTA GA, 30912-1001, US
Phone (706) 721-7913
Fax (706) 723-0296
Business Location
1120 15TH ST
GC-1012
AUGUSTA GA, 30912-0004, US
Phone (706) 721-7913
Fax (706) 723-0296
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number 000179
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According to our database, Georgia Regents University College Of Dental Medicine Faculty Practice NPI is 1457541781, taxonomy code is 122300000X and license number is 000179, license state is located at Georgia. Georgia Regents University College Of Dental Medicine Faculty Practice physically located at 1430 John Wesley Gilbert Dr, Augusta GA, 30912-1001. NPI Number 1033115704 has the healthcare provider type.

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1457541781 NPI number is provided on an as is basis without warranty of any kind. 1457541781 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Regents University College Of Dental Medicine Faculty Practice are for informational purposes only.