Organization · Type 2 NPI
East Georgia Oral & Maxillofacial Surgery Center
Dental Clinic/Center · Statesboro, GA
NPI number
1184946337
Active
Practice location
613 E Grady St
Statesboro, GA 30458-5104
Fax (912) 764-9789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 11060 (GA) |
| Dental Clinic/Center | 261QD0000X | 012756 (GA) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Statesboro
About NPI 1184946337
East Georgia Oral & Maxillofacial Surgery Center's National Provider Identifier is 1184946337, issued on Feb 15, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Statesboro, GA. The record was last updated on Feb 15, 2010.