Au Dental Associates
NPI 1457541781ActiveOrganization· Dentist· Augusta, GA
Dentist in Augusta, Georgia, registered in NPPES in August 2007. The authorized official on file is Janice Ethridge, Credentialing Specialist. Enrolled in Medicare as dme supplier - ocularist and part b supplier - clinic/group practice.
Overview
| NPI | 1457541781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2007 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Dentist | 122300000X | 000179 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Ocularist (GA); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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