Organization
VARNELL GAINES DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARNELL GAINES SR. (DENTIST)
(706) 738-0482
Entity
Organization
Contact information
Practice address
1930 HIGHLAND AVE STE C, AUGUSTA, GA 30904-7801
(706) 738-0482
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
—
ZAG979
—
SC
Enumeration date
01/11/2008
Last updated
01/11/2008
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