Augusta Dental Associates,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1965 Issued in SC

Legal business name

AUGUSTA DENTAL ASSOCIATES,LLC

Practice address

2947 Walton Way
Augusta, GA 30909-3827

Phone

(706) 738-6516

Fax

(706) 262-6518

NPI assigned

Aug 1, 2006

Last updated

Apr 29, 2008By 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. Ronald Quentin Shermer, DMD

Title

Owner

Phone

(803) 920-0581

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Susan Prater Kudlats, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1689803041
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1386650836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 WALTON WAY EXT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093827",
            "telephone_number": "706-738-6516",
            "fax_number": "706-262-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093827",
            "telephone_number": "706-738-6516",
            "fax_number": "706-262-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA DENTAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SHERMER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "QUENTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-920-0581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augusta Community Services Inc (Friendship Community Center)
• Augusta Counseling Professionals LLC (Augusta Counseling Professionals)
• Augusta Counseling Professionals, LLC
• Augusta Critical Care LLC
• Augusta Dental Associates, LLC
• Augusta Dermatology and Aesthetics Center LLC
• Augusta Dermatology Associates PC
• Augusta Developmental Specialists, LLC
• Augusta ENT PC
• Augusta Eye MD, PC

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.