Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194772053 Individual Practitioner Male Practitioner

Dr. Kevin D Plummer , DDS

Dentist - Prosthodontics • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Plummer, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive
Gc-1024

Augusta, GA 309121001

Telephone 7067219633
Fax 7067210266
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Augusta, GA (108 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 - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License GA DN009088

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000877764A (GA)
Medicaid State Provider ID
ZG9088 (SC)

Practice Associates & Co-Workers

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

25 Associated Practitioners
NPI 1033404819

Doctor of Dental Surgery

Dr. Andreina Sananez , DDS, MS

Dentist - Prosthodontics

NPI 1104054816

Doctor of Dental Surgery, Master of Science

Dr. Michael Myers , DMD

Dentist - Prosthodontics

NPI 1104866466

Doctor of Dental Medicine

Dr. Carole Hanes , DMD

Dentist - Pediatric Dentistry

NPI 1114974573

Doctor of Dental Medicine

Ulf Wikesjo

Dentist - Periodontics

NPI 1134280829
Dr. Scott Derossi , DMD

Oral & Maxillofacial Surgery

NPI 1184667370

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 January 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2012

Registered at 1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 309121001 (Tel: 7067219633)

📍
Updated Business Mailing Address January 12, 2012

Registered at 1120 15TH ST, GC-1024, AUGUSTA, GA 309120004 (Tel: 7067219633)

👤
Provider Name / Credentials Updated January 12, 2012

Recorded as KEVIN PLUMMER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2012

Dentist (License #DN009088 in GA)

🟢
Initial NPI Registration & Enumeration May 27, 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: 1194772053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2006
Last Update: January 12, 2012
Sole Proprietor: No

Mailing Address

1120 15th St, Gc-1024

Augusta, GA 309120004

Phone: 7067219633

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.