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Vidalia Oral And Maxillofacial Surgery, P.c.
Oral and Maxillofacial Surgery Clinic/Center in Vidalia, Georgia
NPI 1063682680

Vidalia Oral And Maxillofacial Surgery, P.c. is a Oral and Maxillofacial Surgery Clinic/Center based in Vidalia, GA and is specialized in Oral and Maxillofacial Surgery. Vidalia Oral And Maxillofacial Surgery, P.c. practices in Vidalia, GA. The NPI Number for Vidalia Oral And Maxillofacial Surgery, P.c. is 1063682680 and holds a License No. 01415 (Georgia).

The current practice location address for Vidalia Oral And Maxillofacial Surgery, P.c. is 310 Maple Dr, Vidalia, GA and can be reached out via phone at 912-537-4119 and via fax at 912-537-9117.

Location: 310 Maple Dr, Vidalia, GA, 30474-8909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063682680
Provider Name
Vidalia Oral And Maxillofacial Surgery, P.c.
Credential
Provider Entity Type
Organization
Address
310 Maple Dr, Vidalia, GA, 30474-8909
Phone Number
912-537-4119
Fax Number
912-537-9117
Provider Enumeration Date
03/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
310 Maple Dr
City
Vidalia
State
Georgia
Zip
30474-8909
Phone Number
912-537-4119
Fax Number
912-537-9117
person
Provider Business Mailing Address Details
Address
310 Maple Dr
City
Vidalia
State
Georgia
Zip
30474-8909
Phone Number
912-537-4119
Fax Number
912-537-9117
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
01415 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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