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Southern Oral Surgery Pc
Oral and Maxillofacial Surgery (Dentist) in Griffin, Georgia
NPI 1881629392

Southern Oral Surgery Pc is a Oral and Maxillofacial Surgery (Dentist) based in Griffin, GA and is specialized in Oral and Maxillofacial Surgery. Southern Oral Surgery Pc practices in Griffin, GA. The NPI Number for Southern Oral Surgery Pc is 1881629392 and holds a License No. DN013416 (Georgia).

The current practice location address for Southern Oral Surgery Pc is 614 S 8Th St, Griffin, GA and can be reached out via phone at 770-228-1010 and via fax at 678-692-0242.

Location: 614 S 8Th St, Griffin, GA, 30224-4214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881629392
Provider Name
Southern Oral Surgery Pc
Credential
Provider Entity Type
Organization
Address
614 S 8Th St, Griffin, GA, 30224-4214
Phone Number
770-228-1010
Fax Number
678-692-0242
Provider Enumeration Date
07/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003109984A 05 GA
178058507B 05 GA
178058507A 05 GA
institution
Provider Business Practice Location Address Details
Address
614 S 8Th St
City
Griffin
State
Georgia
Zip
30224-4214
Phone Number
770-228-1010
Fax Number
678-692-0242
person
Provider Business Mailing Address Details
Address
614 S 8Th St
City
Griffin
State
Georgia
Zip
30224-4214
Phone Number
770-228-1010
Fax Number
678-692-0242
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN013416 (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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