Organization
SMILE CENTER OF AUGUSTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS D JOHNSON D.M.D. (PRESIDENT)
(404) 432-5059
Entity
Organization
Contact information
Practice address
2504 PEACH ORCHARD RD, AUGUSTA, GA 30906-2404
(706) 798-8300
Mailing address
2504 PEACH ORCHARD RD, AUGUSTA, GA 30906-2404
(706) 798-8300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013366
GA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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