Southern Oral Surgery Pc in Griffin - Oral And Maxillofacial Surgery
Southern Oral Surgery Pc - NPI 1881629392
Southern Oral Surgery Pc is a Oral And Maxillofacial Surgery in Griffin, Georgia. Southern Oral Surgery Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Southern Oral Surgery Pc is 1881629392. The last update date is 2011-10-12.
Southern Oral Surgery Pc's current location address is 614 S 8th St, Griffin, Georgia. You can contact this provider via phone number 7702281010 and fax number 6786920242. The mailing address for Southern Oral Surgery Pc is 614 S 8th St, Griffin, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southern Oral Surgery Pc |
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Address | 614 S 8th St, Griffin, Georgia |
Phone Number | 7702281010 |
Fax Number | 6786920242 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Ferrara D Eric |
Credentials | DDS |
Telephone Number | 7702281010 |
NPI Number Detail
NPI Number | 1881629392 |
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Provider Enumeration Date | 2006-07-12 |
Last Updated Date | 2011-10-12 |
Provider Mailing Address Detail
Address | 614 S 8th St |
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City | Griffin |
State | Georgia (GA) |
Post Code | 302244214 |
Phone Number | 7702281010 |
Fax Number | 6786920242 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | DN012761 |
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 |
---|---|---|---|
003109984A | GA | -- | |
178058507B | GA | -- | |
178058507A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southern Oral Surgery Pc?
The Southern Oral Surgery Pc has been issued the NPI (National Provider Identifier) 1881629392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Southern Oral Surgery Pc's facilities are geographically located?
The facilities of Southern Oral Surgery Pc are physically situated at the following location: 614 S 8Th St, Griffin, GA, 302244214.
What is the Southern Oral Surgery Pc's area of specialization and corresponding taxonomy classification?
The Southern Oral Surgery Pc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did Southern Oral Surgery Pc receive its 1881629392 assignment from the Centers for Medicare & Medicaid Services?
The Southern Oral Surgery Pc was assigned its 1881629392 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Southern Oral Surgery Pc most recently updated or revised?
The details related to Southern Oral Surgery Pc, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-12.
NPI Number: 1336142389
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