Healthcare Provider Details

I. General information

NPI: 1386560266
Provider Name (Legal Business Name): AFFORDABLE DENTURES & IMPLANTS - ALBANY GA III, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 N WESTOVER BLVD STE 6A
ALBANY GA
31707-6626
US

IV. Provider business mailing address

1104 N WESTOVER BLVD STE 6A
ALBANY GA
31707-6626
US

V. Phone/Fax

Practice location:
  • Phone: 229-878-2885
  • Fax:
Mailing address:
  • Phone: 229-878-2885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CHAUNCEY CONNER
Title or Position: MANAGING DENTIST
Credential: DDS
Phone: 229-878-2885