Organization · Type 2 NPI

Cornerstone Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Valdosta, GA

NPI number 1356983746 Active

Practice location

403 Cowart Ave
Valdosta, GA 31602-2635

Fax (912) 408-7101

Mailing address

PO Box 372
Pooler, GA 31322-0372

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral and Maxillofacial Surgery Clinic/Center 261QS0112XNone listed

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.

2 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Valdosta

See all in Valdosta →

About NPI 1356983746

Cornerstone Oral and Maxillofacial Surgery's National Provider Identifier is 1356983746, issued on Oct 17, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Valdosta, GA. The record was last updated on Oct 17, 2019.