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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