Terrence L Vandiver
Terrence L Vandiver is a General Practice Dentistry in Augusta, Georgia. Licensed in Georgia and South Carolina. Registered with an NPI since 2006.
- Licensed in
- GA, SC
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1631 Gordon Hwy #22Augusta, GA 30906-2292
Phone: (706) 790-9302
Fax: (706) 790-9303
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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 · Licence DN012433 (GA) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 3827 (SC) |
Record details
| NPI number | 1306811914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 18, 2006 |
| Last updated in NPPES | March 26, 2015 |
| Mailing address | 1631 Gordon Hwy, 22, Augusta, GA 30906-2292 |
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