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GEORGIA DENTAL ALLIANCE OF AUGUSTA
NPI 1093488132
Dentist - General Practice in Augusta, GA

Active since July 26, 2021
3643 WALTON WAY EXT, AUGUSTA, GA 30909(404) 410-1340 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Dental Alliance Of Augusta NPPES

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

GEORGIA DENTAL ALLIANCE OF AUGUSTA (NPI 1093488132) is a healthcare organization registered as a general practice in Augusta, Georgia and active in the NPI registry since July 2021. The organization lists Jennifer Tomlinson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1093488132
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA DENTAL ALLIANCE OF AUGUSTA
Location Address3643 WALTON WAY EXTAugusta, GA 30909-4507
Mailing Address3643 Walton Way ExtAugusta, GA 30909-4507
Phone(404) 410-1340
Organization SubpartNo
Authorized OfficialJennifer TomlinsonCredentialing Specialist · (678) 986-7116
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1093488132 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.
3643 WALTON WAY EXT, Augusta, GA 30909
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. LOGAN NALLEY III DMD
Dentist (General Practice)
3643 WALTON WAY EXT, BLDG. 1
AUGUSTA, GA 30909
Richmond County (706) 733-8641
HILLARY HERRING M.ED.
Counselor (Professional)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
JEANNE MARIE ROBENOLT
Registered Nurse
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
REGINALD ULCENA BS
Counselor (Mental Health)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
CYNDI S TAYLOR LPC
Counselor (Professional)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 364-1404
DR. AUBREY LEE MOORE III PH.D.
Psychologist
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 729-9595
ANGELICA MARIA LA LUZ LCSW
Social Worker (Clinical)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 364-1404
KENYA LEE
Counselor (Professional)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404

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 Georgia Dental Alliance Of Augusta's NPI number?

The NPI number for Georgia Dental Alliance Of Augusta is 1093488132. It was assigned to this organization in the NPPES registry on July 26, 2021.

Where is Georgia Dental Alliance Of Augusta located?

Georgia Dental Alliance Of Augusta is located at 3643 Walton Way Ext, Augusta, GA 30909. The listed phone number is (404) 410-1340.

What is Georgia Dental Alliance Of Augusta'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 Georgia Dental Alliance Of Augusta was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.