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Organization
AU DENTAL ASSOCIATES
Active
Organization
AU DENTAL ASSOCIATES
Active
Other names
AU Dental Associates Dental College of GA
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ETHRIDGE (CREDENTIALING SPECIALIST)
(706) 721-7913
Entity
Organization
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-1001
(706) 721-2371
Mailing address
1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 30912-0004
(706) 721-7913
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
000179
GA
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
03/13/2026
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