NPI age
20 years
Enumerated 2006-02-18
● Active
Type 1 · Individual
Terrence L Vandiver
Vandiver is 1 of 145 dentist providers in Augusta and 1 of 4309 in Georgia.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4309 active dentist providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
1631 Gordon Hwy, #22
Augusta, GA 309062292
Mailing address
1631 Gordon Hwy, #22
Augusta, GA 309062292
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 |
|---|---|---|
| 05 (SC) | ZX3827 | |
| 05 (GA) | 747629278A | |
| 01 (GA) | 9180178 | DENTAQUEST |
| 01 (GA) | 2670243 | UNITED CONCORDIA |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.