DR. SAMUEL CHRISTOPHER D'ARCO (NPI# 1790724763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790724763 |
Entity Type | Individual |
Full Name | DR. SAMUEL CHRISTOPHER D'ARCO |
Credential | DDS |
Practice Address |
3736 Walton Way Ext Augusta GA 30907-2402 |
Practice Telephone | 7062283100 |
Practice Fax Number | 7062283707 |
Mailing Telephone | 7062283100 |
Mailing Fax Number | 7062283707 |
Enumeration Date | 2006-06-05 |
Last Update Date | 2012-01-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN011130 | GA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00707407B | 05 |
Street Address |
3736 WALTON WAY EXT |
City | AUGUSTA |
State | GA |
Zip Code | 30907-2402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861670143 | Augusta Oral Surgery Specialists PC | Dentist | 3736 Walton Way Ext, Augusta, GA 30907-2402 | 2008-02-08 |
1578652616 | Mark Eugene Peacock | Dentist | 3736 Walton Way Ext, Augusta, GA 30907-2402 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
Find all providers in zip 30907 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558795930 | Terry R. Ellis, Dmd, PC | Dentist | 1244 Augusta West Pkwy, Augusta, GA 30909-1854 | 2013-08-21 |
1831455732 | Rebecca Lynne Paquin | Dentist | Mcg Department of Otolaryngology-head and Neck Surgery, 1120 15th Street, Suite Bp 4109, Augusta, GA 30912 | 2012-04-04 |
1487883815 | Sara Khaled Akeel | Dentist | 705 Saint Andrews Drive, Augusta, GA 30909 | 2009-07-07 |
1407070006 | Facial and Oral Surgery Associates | Dentist | 5 Community Dr, Augusta, ME 04330-8087 | 2007-04-13 |
1790715142 | R. Robert Berube | Dentist | Facial & Oral Surgery Associates, Pa, 5 Community Drive, Augusta, ME 04330 | 2006-07-03 |
1093744294 | Edwin Douglas Joy Jr. | Dentist | 1222 George C Wilson Dr, Augusta, GA 30909-4502 | 2006-07-01 |
1548205636 | Drs. Peacock & Rafoth, P.C. | Dentist | 3634 Wheeler Rd, Augusta, GA 30909-6518 | 2006-06-20 |
1255307831 | Terry Randal Ellis | Dentist | 1244 Augusta West Parkway, Augusta, GA 30909 | 2006-02-24 |
1275195984 | Anh Nguyen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 | 2019-07-02 |
1740606375 | Christian Boliere | Dentist | 1430 John Wesley Gilbert Dr, Gc-2112, Augusta, GA 30912-0001 | 2014-03-06 |
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.