institution
East Georgia Oral & Maxillofacial Surgery Center
Dental Clinic/Center in Statesboro, Georgia
NPI 1184946337

East Georgia Oral & Maxillofacial Surgery Center is a Dental Clinic/Center based in Statesboro, GA and is specialized in Dental. East Georgia Oral & Maxillofacial Surgery Center practices in Statesboro, GA. The NPI Number for East Georgia Oral & Maxillofacial Surgery Center is 1184946337 and holds a License No. 11060 (Georgia).

The current practice location address for East Georgia Oral & Maxillofacial Surgery Center is 613 E Grady St, Statesboro, GA and can be reached out via phone at 912-764-5435 and via fax at 912-764-9789.

Location: 613 E Grady St, Statesboro, GA, 30458-5104
institution
Provider Profile Details
NPI Number
1184946337
Provider Name
East Georgia Oral & Maxillofacial Surgery Center
Credential
Provider Entity Type
Organization
Address
613 E Grady St, Statesboro, GA, 30458-5104
Phone Number
912-764-5435
Fax Number
912-764-9789
Provider Enumeration Date
02/15/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
478841397B 05 GA
000514489A 05 GA
institution
Provider Business Practice Location Address Details
Address
613 E Grady St
City
State
Zip
30458-5104
Phone Number
912-764-5435
Fax Number
912-764-9789
person
Provider Business Mailing Address Details
Address
613 E Grady St
City
State
Zip
30458-5104
Phone Number
912-764-5435
Fax Number
912-764-9789
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
11060 (Georgia)
Definition
Definition to come...
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