Organization Active NPI

Affordable Dentures & Implants - East Augusta, P.C.

  • General Practice Dentistry
  • Augusta, GA
National Provider Identifier
1114507639
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - EAST AUGUSTA, P.C.
Practice address
1139 Greene St
Augusta, GA 30901-2125
Phone
(706) 721-4288
NPI assigned
Apr 9, 2021
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charvette Monroe, DMD
Title
Owner
Phone
(706) 721-4288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1139 Greene St
Augusta, GA 30901-2125

Mailing address

1139 Greene St
Augusta, GA 30901-2125
Phone (706) 721-4288

National Provider Directory

National Provider Directory

Locations

1139 Greene St
Augusta, GA 30901
Phone (706) 721-4288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1114507639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 GREENE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012125",
            "telephone_number": "706-721-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 GREENE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012125",
            "telephone_number": "706-721-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - EAST AUGUSTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "CHARVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-721-4288",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.