Augusta Oral Surgery Specialists PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN011130 Issued in GA

Legal business name

AUGUSTA ORAL SURGERY SPECIALISTS PC

Practice address

3736 Walton Way Ext
Augusta, GA 30907-2402

Phone

(706) 228-3100

Fax

(706) 228-3707

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Samuel C D'Arco, DDS

Title

Owner

Phone

(706) 228-3100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1861670143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 WALTON WAY EXT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072402",
            "telephone_number": "706-228-3100",
            "fax_number": "706-228-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 WALTON WAY EXT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072402",
            "telephone_number": "706-228-3100",
            "fax_number": "706-228-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA ORAL SURGERY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "D'ARCO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-228-3100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN011130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00707407B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "19NCCCT",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augusta Obstetrics and Gynecology Specialists, LLC
• Augusta Oncology Associates PC
• Augusta Oncology Associates, P.C.
• Augusta Oncology Associates, P.C.
• Augusta Oncology Associates, PC
• Augusta Orthopaedic Clinic PA
• Augusta Orthopedic & Sports Medicine Specialists PC
• Augusta Pain Consultants, PC
• Augusta Pediatric Associates, P.C.
• Augusta Pediatric Clinic, PC

• Oral and Maxillofacial Surgery (Dentist) in Augusta, GA
• Providers in Augusta, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.