NPI age
20 years
Enumerated 2006-02-18
● Active Type 2 · Organization
Augusta Smiles Youth Dentistry, Pc
Augusta Smiles Youth Dentistry, Pc is 1 of 4309 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stump
Director, Licensing & Credentialing
Last NPPES update
2015-03-26
Source: monthly bulk 2026-05
How this organization compares
Across 4309 active dentist providers in Georgia.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1631 Gordon Hwy, Suite #22
Augusta, GA 309062292
Mailing address
1631 Gordon Hwy Ste 22
Augusta, GA 309062230
Authorized official
Jenell Stump
Director, Licensing & Credentialing
📞 7067909302
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Terrence Vandiver Dentist NPI 1306811914
- Vinh Vuong Dentist NPI 1255408456
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1770568 | UNITED CONCORDIA |
| 05 (GA) | 302137931A | |
| 05 (SC) | ZAG978 | |
| 01 (GA) | 539114 | AVESIS GA |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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