Organization · Type 2 NPI
Vidalia Oral and Maxillofacial Surgery, P.c.
Oral and Maxillofacial Surgery Clinic/Center · Vidalia, GA
NPI number
1063682680
Active
Practice location
310 Maple Dr
Vidalia, GA 30474-8909
Fax (912) 537-9117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 01415 (GA) |
Oral and Maxillofacial Surgery Clinic/Center: 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.
3 other providers at this address
About NPI 1063682680
Vidalia Oral and Maxillofacial Surgery, P.c.'s National Provider Identifier is 1063682680, issued on Mar 11, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Vidalia, GA. The record was last updated on Mar 11, 2008.