Center For Oral & Maxillofacial Surgery, NPI 1538112016
Oral and Maxillofacial Surgery (Dentist) in Evans, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1538112016
NPI Entity Type Organization
Provider Name Center For Oral & Maxillofacial Surgery
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 7011 Evans Town Center Blvd, Evans, GA, US
Provider Mailing Address 7011 Evans Town Center Blvd, Evans, GA, US, 308094315
Is Sole Proprietor? No
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Organization Official

Official Name DR. DDS Kyle H O'neal
Official Position PRESIDENT
Phone 706-724-8735

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

1223S0112X

Taxonomy Name Oral and Maxillofacial Surgery (Dentist)
Classification

Dentist

Group

Dental Providers

License No. 7520
License State GA
Description 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.

Business Address

Center For Oral & Maxillofacial Surgery
7011 Evans Town Center Blvd

Evans, GA, US

Phone: 706-724-8735
Fax: 706-722-7037

Mailing Address

Center For Oral & Maxillofacial Surgery
7011 Evans Town Center Blvd
Evans, GA, US
ZIP 308094315
Phone: 706-724-8735
Fax: 706-722-7037

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
300020478A GA MEDICAID 05
ZAG985 SC MEDICAID 05

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Organization

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Organization

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