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AUGUSTA DENTAL ASSOCIATES, LLC
NPI 1619901808
Dentist - General Practice in Augusta, GA

Active since July 11, 2006
1218 AUGUSTA WEST PARKWAY, AUGUSTA, GA 30909(706) 860-0518(706) 860-4902 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Augusta Dental Associates, Llc NPPES

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

AUGUSTA DENTAL ASSOCIATES, LLC (NPI 1619901808), doing business as Michael O. Vernon, Dmd, Pc, is a healthcare organization registered as a general practice in Augusta, Georgia and active in the NPI registry since July 2006. The organization lists Christopher Michael Moldovan, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1619901808
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAUGUSTA DENTAL ASSOCIATES, LLC
Location Address1218 AUGUSTA WEST PARKWAYAugusta, GA 30909-1808
Mailing Address1218 Augusta West ParkwayAugusta, GA 30909-1808 · (706) 860-0518 · Fax (706) 860-4902
Phone(706) 860-0518
Fax(706) 860-4902
Organization SubpartNo
Authorized OfficialChristopher Michael MoldovanOwner/dentist · (706) 860-0518
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1619901808 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 · 012377✔ Licensed in GA · 8815
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.
1218 AUGUSTA WEST PARKWAY, Augusta, GA 30909
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Other Names 1

Former Legal Business NameMichael O. Vernon, Dmd, Pc

Other Identifiers 2

Medicaid00922655AGA
Medicaid00137948BGA

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Dental Associates, LLC's NPI number?

The NPI number for Augusta Dental Associates, LLC is 1619901808. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider was formerly known as Michael O. Vernon, Dmd, PC.

Where is Augusta Dental Associates, LLC located?

Augusta Dental Associates, LLC is located at 1218 Augusta West Parkway, Augusta, GA 30909. The listed phone number is (706) 860-0518.

What is Augusta Dental Associates, LLC'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 Dental Associates, LLC was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.