Augusta Orthodontic Center PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

06988 Issued in GA

Legal business name

AUGUSTA ORTHODONTIC CENTER PC

Practice address

580 Blue Ridge Drive
Evans, GA 30809-3604

Phone

(706) 855-9903

Fax

(706) 855-9861

NPI assigned

Dec 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Dennis Metts, DDS

Title

Owner

Phone

(706) 855-9903

Specialties & licenses 1

Addresses

Other names 1

• James D Metts DDS Former legal business name

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316015563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BLUE RIDGE DRIVE",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093604",
            "telephone_number": "706-855-9903",
            "fax_number": "706-855-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BLUE RIDGE DRIVE",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093604",
            "telephone_number": "706-855-9903",
            "fax_number": "706-855-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA ORTHODONTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-855-9903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "06988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James D Metts DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dental Clinic/Center in Evans, GA
• Providers in Evans, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.