PHUONG QUYNH NGOC SPICER (NPI# 1790213700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790213700 |
| Entity Type | Individual |
| Full Name | PHUONG QUYNH NGOC SPICER |
| Other Name | PHUONG QUYNH NGOC LE |
| Credential | DMD |
| Practice Address |
1631 Gordon Hwy Ste 22 Augusta GA 30906-2230 |
| Practice Telephone | (706) 790-9302 |
| Practice Fax Number | 7067909303 |
| Mailing Telephone | 7067909302 |
| Mailing Fax Number | 7067909303 |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2017-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN015406 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA DENTAL LICENSE | DN015406 | 01 |
| Street Address |
1631 GORDON HWY STE 22 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730633959 | Carol A. Patel | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2016-08-04 |
| 1346898293 | Bridgeport River Dental PC | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2019-09-03 |
| 1356993331 | Jessica A George | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2019-07-10 |
| 1871079376 | La'quinta Sharelle Elim | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1730633959 | Carol A. Patel | Dentist | 1631 Gordon Hwy Ste 22, Augusta, GA 30906-2230 | 2016-08-04 |
| 1477938629 | Alie Kraft | Dentist | 1430 John Wesley Gilbert Dr Augusta University, Augusta, GA 30912-5660 | 2015-07-29 |
| 1982013116 | Jeffrey Steed | Dentist | Dental College of Georgia 1430 John Wesley Gilbert Dr, Augusta, GA 30912 | 2014-08-13 |
| 1619380144 | Nicole Anne Hasenfus | Dentist | 169 Water St, Augusta, ME 04330-4607 | 2014-06-02 |
| 1275898900 | Dyess Parkway Dental, LLC | Dentist | 4045 Jimmie Dyess Pkwy Ste 103, Augusta, GA 30909-9492 | 2012-07-09 |
| 1578862777 | Jonathan L Bullard | Dentist | 3702 Washington Rd., Augusta, GA 30907-2848 | 2011-03-28 |
| 1811205040 | Jason Hamel | Dentist | 94 Western Ave Ste 1, Augusta, ME 04330-7269 | 2010-09-22 |
| 1659686806 | Alan F Myers | Dentist | 1014 Northwood Rd, Suite A, Augusta, GA 30909-2312 | 2010-08-12 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.