Individual provider · Type 1 NPI
Sergey Gazarov, DDS
Oral and Maxillofacial Surgery (Dentist) · Fort Stewart, GA
Practice location
351 W 6th Street, Bldg 440, Usa Dental Health Activity
Fort Stewart, GA 31314
Mailing address
Bldg 38717 38th Street, Usa Dentac
Fort Gordon, GA 30905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9549 (SC) |
| Dentist | 122300000X | 62674 (CA) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 61302962 (WA) |
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.
Other oral and maxillofacial surgery (dentist) providers in Fort Stewart
About NPI 1194150946
Sergey Gazarov, DDS's National Provider Identifier is 1194150946, issued on Sep 12, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Stewart, GA. The record was last updated on Dec 24, 2022.