Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306811914 Individual Practitioner Male Practitioner

Terrence L Vandiver

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Terrence Vandiver is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 1631 GORDON HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1631 Gordon Hwy
#22

Augusta, GA 309062292

Telephone 7067909302
Fax 7067909303
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN012433

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC 3827

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ZX3827 (SC)
Medicaid State Provider ID
747629278A (GA)
Commercial Insurance / Payer ID Dentaquest
9180178 (GA)
Commercial Insurance / Payer ID United Concordia
2670243 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Vinh Vuong

Dentist - General Practice

NPI 1255408456
Dr. Jessica George , DMD

Dentist - General Practice

NPI 1356993331

Doctor of Dental Medicine

Dr. Carol Patel , DMD

Dentist - General Practice

NPI 1730633959

Doctor of Dental Medicine

NPI 1962810358

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2015

Registered at 1631 GORDON HWY, #22, AUGUSTA, GA 309062292 (Tel: 7067909302)

📍
Updated Business Mailing Address March 26, 2015

Registered at 1631 GORDON HWY, #22, AUGUSTA, GA 309062292 (Tel: 7067909302)

👤
Provider Name / Credentials Updated March 26, 2015

Recorded as TERRENCE VANDIVER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2015

Dentist (License #DN012433 in GA)

🟢
Initial NPI Registration & Enumeration February 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306811914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2006
Last Update: March 26, 2015
Sole Proprietor: No

Mailing Address

1631 Gordon Hwy, #22

Augusta, GA 309062292

Phone: 7067909302

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.