Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dentrust, PC

Organization General Practice Dentistry · NPI 1609541945

Dentrust, PC is a General Practice Dentistry in Fort Gordon, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 3rd Ave Bldg 38200
Fort Gordon, GA 30905-5904
Phone: (267) 927-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1609541945
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDentrust PC
Authorized official Amanda Clark — Director Of Credentialing · (267) 927-5000
Other names Docs Dental Ft. Gordon
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address1221 Vinewood Dr, Seffner, FL 33584-4829

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