Organization · Type 2 NPI
Southern Oral Surgery PC
Oral and Maxillofacial Surgery (Dentist) · Griffin, GA
NPI number
1881629392
Active
Practice location
614 S 8th St
Griffin, GA 30224-4214
Fax (678) 692-0242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN013416 (GA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN012761 (GA) |
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.
4 other providers at this address
- Vascular Wellness CenterVascular Surgery Physician Griffin, GA NPI 1609607555
- Eric D. Ferrara, DDSOral and Maxillofacial Surgery (Dentist) Griffin, GA NPI 1629073465
- Vanita S. Pulliam, MSN, ACNPAcute Care Nurse Practitioner Griffin, GA NPI 1902747967
- Victor C. Njoku, MDVascular Surgery Physician Griffin, GA NPI 1447489026
About NPI 1881629392
Southern Oral Surgery PC's National Provider Identifier is 1881629392, issued on Jul 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Griffin, GA. The record was last updated on Oct 12, 2011.