Individual provider · Type 1 NPI

Frank De Latour Iii, DDS

Oral and Maxillofacial Surgery (Dentist) · Fort Gordon, GA

NPI number 1497164081 Active

Practice location

300 East Hosptial Drive
Fort Gordon, GA 30905

Mailing address

300 East Hospital Drive
Fort Gordon, GA 30905

Other practice locations

  • 1120 15th St, Augusta, GA 30912-0004 · (706) 721-8623
  • 9310 Two Notch Rd, Columbia, SC 29223-6416 · (703) 346-5554
  • 3112 N Main St, Anderson, SC 29621-2763 · (703) 346-5554

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X0401414463 (VA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDNF000451 (GA)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XDNF000451 (GA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10106 (SC)

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 Gordon

See all in Fort Gordon →

About NPI 1497164081

Frank De Latour Iii, DDS's National Provider Identifier is 1497164081, issued on Aug 7, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Gordon, GA. The record was last updated on Jan 11, 2024.