Individual
DR. VARNELL GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1930 HIGHLAND AVE, SUITE C, AUGUSTA, GA 30904-7800
(706) 738-0482
(706) 737-2908
Mailing address
1708 FLAGLER RD, AUGUSTA, GA 30909-9573
(706) 860-9454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008943
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000165107C
—
GA
01
—
9183671
DORAL IDENTIFIER
GA
Enumeration date
12/08/2006
Last updated
10/15/2009
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