Provider Demographics
NPI:1093267866
Name:BELA FAMILY DENTISTRY OF AUGUSTA
Entity Type:Organization
Organization Name:BELA FAMILY DENTISTRY OF AUGUSTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL / INSURANCE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-460-6491
Mailing Address - Street 1:PO BOX 1664
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29071-1664
Mailing Address - Country:US
Mailing Address - Phone:803-637-4616
Mailing Address - Fax:
Practice Address - Street 1:2325 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-3105
Practice Address - Country:US
Practice Address - Phone:315-460-6491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty