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AUGUSTA SMILES YOUTH DENTISTRY, PC
NPI 1033184643
Dentist - General Practice in Augusta, GA

Active since February 18, 2006
1631 GORDON HWY, SUITE #22, AUGUSTA, GA 30906(706) 790-9302(706) 790-9303 Get Directions Write a Review

NPPES record last updated: March 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Augusta Smiles Youth Dentistry, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUGUSTA SMILES YOUTH DENTISTRY, PC (NPI 1033184643) is a healthcare organization registered as a general practice in Augusta, Georgia and active in the NPI registry since February 2006. The organization lists Jenell Stump, Director, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1033184643
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAUGUSTA SMILES YOUTH DENTISTRY, PC
Location Address1631 GORDON HWY, SUITE #22Augusta, GA 30906-2292
Mailing Address1631 Gordon Hwy Ste 22Augusta, GA 30906-2230 · (706) 790-9302 · Fax (706) 790-9303
Phone(706) 790-9302
Fax(706) 790-9303
Organization SubpartNo
Authorized OfficialJenell StumpDirector, Licensing & Credentialing · (706) 790-9302
Enumeration DateFebruary 18, 2006
Last NPPES UpdateMarch 26, 2015
✔ NPI 1033184643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1631 GORDON HWY, Augusta, GA 30906
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Other Identifiers 4

Other1770568GA · United Concordia
MedicaidZAG978SC
Other539114GA · Avesis Ga
Medicaid302137931AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1631 GORDON HWY, STE 1B
AUGUSTA, GA 30906
Richmond County (706) 790-8300
GORDON HIGHWAY DENTAL GROUP, LLC
Dentist (General Practice)
1631 GORDON HWY
AUGUSTA, GA 30906
Richmond County (706) 790-9302
VINH TU VUONG
Dentist (General Practice)
1631 GORDON HWY, #22
AUGUSTA, GA 30906
Richmond County (706) 790-9302
TERRENCE L VANDIVER
Dentist (General Practice)
1631 GORDON HWY, #22
AUGUSTA, GA 30906
Richmond County (706) 790-9302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augusta Smiles Youth Dentistry, PC's NPI number?

The NPI number for Augusta Smiles Youth Dentistry, PC is 1033184643. It was assigned to this organization in the NPPES registry on February 18, 2006.

Where is Augusta Smiles Youth Dentistry, PC located?

Augusta Smiles Youth Dentistry, PC is located at 1631 Gordon Hwy Suite #22, Augusta, GA 30906. The listed phone number is (706) 790-9302.

What is Augusta Smiles Youth Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Augusta Smiles Youth Dentistry, PC was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.