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BRIDGEPORT RIVER DENTAL PC
NPI 1346898293
Dentist - General Practice in Augusta, GA

Active since September 03, 2019
1631 GORDON HWY STE 22, AUGUSTA, GA 30906(706) 790-9302(706) 739-4706 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridgeport River Dental Pc NPPES

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

BRIDGEPORT RIVER DENTAL PC (NPI 1346898293) is a healthcare organization registered as a general practice in Augusta, Georgia and active in the NPI registry since September 2019. The organization maintains 2 additional practice locations and lists Michelle Jacomino, Director Of Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1346898293
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRIDGEPORT RIVER DENTAL PC
Location Address1631 GORDON HWY STE 22Augusta, GA 30906-2230
Mailing Address1090 Northchase Pkwy Se Ste 150Marietta, GA 30067-6407 · (770) 916-9000
Phone(706) 790-9302
Fax(706) 739-4706
Organization SubpartNo
Authorized OfficialMichelle JacominoDirector Of Payor Relations · (770) 916-9000
Enumeration DateSeptember 3, 2019
✔ NPI 1346898293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
1631 GORDON HWY STE 22, Augusta, GA 30906
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Secondary Practice Locations 2

Location 12127 E Victory Dr # ASavannah, GA 31404-3917 · Phone (912) 443-6013 · Fax (912) 642-4145
Location 21536 Eisenhower PkwyMacon, GA 31206-3130 · Phone (478) 781-4333 · Fax (478) 239-5679

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 2

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

DR. JESSICA A GEORGE DMD
Dentist (General Practice)
1631 GORDON HWY STE 22
AUGUSTA, GA 30906
Richmond County (706) 790-9302
CAROL A. PATEL DMD
Dentist (General Practice)
1631 GORDON HWY STE 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 Bridgeport River Dental PC's NPI number?

The NPI number for Bridgeport River Dental PC is 1346898293. It was assigned to this organization in the NPPES registry on September 3, 2019.

Where is Bridgeport River Dental PC located?

Bridgeport River Dental PC is located at 1631 Gordon Hwy Ste 22, Augusta, GA 30906. The listed phone number is (706) 790-9302.

What is Bridgeport River Dental 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 Bridgeport River Dental PC was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.