Individual provider · Type 1 NPI

Ryan Patrick Mooneyham, DDS

Oral and Maxillofacial Surgery (Dentist) · Augusta, GA

NPI number 1033705066 Active

Practice location

1430 John Wesley Gilbert Drive
Augusta, GA 30912-0001

Call (706) 721-9744 Map

Fax (706) 721-6778

Mailing address

1120 15th Street, GC-1161
Augusta, GA 30912-0001

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDDS-09792 (IA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDNF000472 (GA)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1033705066

Ryan Patrick Mooneyham, DDS's National Provider Identifier is 1033705066, issued on Dec 14, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Augusta, GA. The record was last updated on Feb 3, 2026.