institution
Valdosta Oral And Maxillofacial Surgeons
Oral and Maxillofacial Surgery (Dentist) in Valdosta, Georgia
NPI 1912173022

Valdosta Oral And Maxillofacial Surgeons is a Oral and Maxillofacial Surgery (Dentist) based in Valdosta, GA and is specialized in Oral and Maxillofacial Surgery. Valdosta Oral And Maxillofacial Surgeons practices in Valdosta, GA. The NPI Number for Valdosta Oral And Maxillofacial Surgeons is 1912173022 and holds a License No. DN008219 (Georgia).

The current practice location address for Valdosta Oral And Maxillofacial Surgeons is 2720 N Oak St, Valdosta, GA and can be reached out via phone at 229-247-5590 and via fax at 229-241-0698.

Location: 2720 N Oak St, Valdosta, GA, 31602-1781
institution
Provider Profile Details
NPI Number
1912173022
Provider Name
Valdosta Oral And Maxillofacial Surgeons
Credential
Provider Entity Type
Organization
Address
2720 N Oak St, Valdosta, GA, 31602-1781
Phone Number
229-247-5590
Fax Number
229-241-0698
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP6639 01 GA MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2720 N Oak St
City
State
Zip
31602-1781
Phone Number
229-247-5590
Fax Number
229-241-0698
person
Provider Business Mailing Address Details
Address
2720 N Oak St
City
State
Zip
31602-1781
Phone Number
229-247-5590
Fax Number
229-241-0698
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DN008219 (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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