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TERRENCE L VANDIVER
NPI 1306811914
Dentist - General Practice in Augusta, GA

Active since February 18, 2006
1631 GORDON HWY, #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 Terrence L Vandiver NPPES

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

TERRENCE L VANDIVER (NPI 1306811914) is an individual general practice provider in Augusta, Georgia, licensed in Georgia (DN012433) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1306811914
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTERRENCE L VANDIVER
Location Address1631 GORDON HWY, #22Augusta, GA 30906-2292
Mailing Address1631 Gordon Hwy, #22Augusta, GA 30906-2292 · (706) 790-9302 · Fax (706) 790-9303
Phone(706) 790-9302
Fax(706) 790-9303
Sole ProprietorNo
Enumeration DateFebruary 18, 2006
Last NPPES UpdateMarch 26, 2015
✔ NPI 1306811914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in GA · DN012433✔ Licensed in SC · 3827
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

MedicaidZX3827SC
Other2670243GA · United Concordia
Medicaid747629278AGA
Other9180178GA · Dentaquest

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield 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
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

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 Terrence Vandiver's NPI number?

The NPI number for Terrence Vandiver is 1306811914. It was assigned to this individual provider in the NPPES registry on February 18, 2006.

Where is Terrence Vandiver located?

Terrence Vandiver practices at 1631 Gordon Hwy #22, Augusta, GA 30906. The listed phone number is (706) 790-9302.

What is Terrence Vandiver's specialty?

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

What insurance does Terrence Vandiver accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Terrence Vandiver 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 Terrence Vandiver 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.