1. Home
  2. Directory
  3. Georgia
  4. Augusta
  5. Dentist
  6. NPI Profile

AUGUSTA SMILES YOUTH DENTISTRY
NPI 1215487467
Dentist - General Practice in Augusta, GA

Active since October 12, 2016
1631 GORDON HWY, AUGUSTA, GA 30906(706) 790-9302(706) 790-9303 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2018, Oct 12, 2016 (2 updates tracked since 2016).

About Augusta Smiles Youth Dentistry NPPES

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

AUGUSTA SMILES YOUTH DENTISTRY (NPI 1215487467) is a healthcare organization registered as a general practice in Augusta, Georgia and active in the NPI registry since October 2016. The organization lists Linda Susan Zoeller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1215487467
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGORDON HIGHWAY DENTAL GROUP, LLC
Location Address1631 GORDON HWYAugusta, GA 30906
Mailing Address401 Church St Ste 2210Nashville, TN 37219-2204 · (615) 988-2627 · Fax (631) 857-7860
Phone(706) 790-9302
Fax(706) 790-9303
Organization SubpartNo
Authorized OfficialLinda Susan ZoellerAuthorized Official · (615) 988-2627
Enumeration DateOctober 12, 2016
Last NPPES UpdateJuly 5, 20182 updates tracked since enumeration
✔ NPI 1215487467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN015152
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
Open in Google Maps ↗

Other Names 1

Doing Business AsAugusta Smiles Youth Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

AUGUSTA SMILES YOUTH DENTISTRY, PC
Dentist (General Practice)
1631 GORDON HWY, SUITE #22
AUGUSTA, GA 30906
Richmond County (706) 790-9302
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
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 Gordon Highway Dental Group, LLC's NPI number?

The NPI number for Gordon Highway Dental Group, LLC is 1215487467. It was assigned to this organization in the NPPES registry on October 12, 2016. The provider is doing business as Augusta Smiles Youth Dentistry.

Where is Gordon Highway Dental Group, LLC located?

Gordon Highway Dental Group, LLC is located at 1631 Gordon Hwy, Augusta, GA 30906. The listed phone number is (706) 790-9302.

What is Gordon Highway Dental Group, LLC's specialty?

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

What insurance does Gordon Highway Dental Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gordon Highway Dental Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Highway Dental Group, LLC was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.