Healthcare Provider Details

I. General information

NPI: 1821902958
Provider Name (Legal Business Name): EBS ENDODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 DAVIS RD STE E
AUGUSTA GA
30907-2425
US

IV. Provider business mailing address

1015 GLENHAVEN DR
EVANS GA
30809-0420
US

V. Phone/Fax

Practice location:
  • Phone: 706-364-7668
  • Fax:
Mailing address:
  • Phone: 904-868-8805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JOSHUA EDWARD MASSEY
Title or Position: OWNER
Credential: D.M.D.
Phone: 706-364-7668