Gordon T Austin in Carrollton - Oral And Maxillofacial Surgery

Gordon T Austin - NPI 1477551257

Gordon T Austin is a Oral And Maxillofacial Surgery in Carrollton, Georgia. Gordon T Austin practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gordon T Austin is 1477551257. The last update date is 2007-07-09.

Gordon T Austin's current location address is 819 Dixie St, Carrollton, Georgia. You can contact this provider via phone number 7708327374 and fax number 7708327260. The mailing address for Gordon T Austin is 819 Dixie St, Carrollton, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon T Austin
Address 819 Dixie St, Carrollton, Georgia
Phone Number 7708327374
Fax Number 7708327260
Sole Proprietor X
Credentials D.M.D.

NPI Number Detail

NPI Number 1477551257
Provider Enumeration Date 2005-07-14
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 819 Dixie St
City Carrollton
State Georgia (GA)
Post Code 301174415
Phone Number 7708327374
Fax Number 7708327260

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 8598
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00380784A GA --

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FAQs about Gordon T Austin

What is the unique 10-digit identifier code assigned to Gordon T Austin by the Centers for Medicare & Medicaid Services?

The Gordon T Austin has been issued the NPI (National Provider Identifier) 1477551257 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Gordon T Austin?

The Gordon T Austin is situated at 819 Dixie St, in the city of Carrollton, state of GA, with the zip code 301174415.

What is the Gordon T Austin's specialty and taxonomy code?

The Gordon T Austin's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

When was the Gordon T Austin's 1477551257 issued?

The Gordon T Austin's 1477551257 was issued on 2005-07-14.

When was the information related to Gordon T Austin most recently updated or refreshed?

The details pertaining to the Gordon T Austin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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