Organization · Type 2 NPI

Georgia Oral Surgical Institute LLC

Oral and Maxillofacial Surgery (Dentist) · Rome, GA

NPI number 1972420347 Active

Practice location

21 John Maddox Dr NW
Rome, GA 30165-1413

Fax (706) 290-9577

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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.

3 other providers at this address

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About NPI 1972420347

Georgia Oral Surgical Institute LLC's National Provider Identifier is 1972420347, issued on Jul 6, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rome, GA. The record was last updated on Sep 25, 2026.