| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033184643 | AUGUSTA SMILES YOUTH DENTISTRY, PC | 1631 GORDON HWY STE 22 | AUGUSTA | GA | 309062230 | |||
| 1730633959 | PATEL | CAROL | A. | 1631 GORDON HWY STE 22 | AUGUSTA | GA | 309062230 | |
| 1790213700 | SPICER | PHUONG QUYNH | NGOC | 1631 GORDON HWY STE 22 | AUGUSTA | GA | 309062230 | |
| 1306811914 | VANDIVER | TERRENCE | L | 1631 GORDON HWY | AUGUSTA | GA | 309062292 |