David Neal Faircloth in Augusta - Oral And Maxillofacial Surgery
David Neal Faircloth - NPI 1669404307
David Neal Faircloth is a Oral And Maxillofacial Surgery in Augusta, Georgia. David Neal Faircloth practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David Neal Faircloth is 1669404307. The last update date is 2008-01-21.
David Neal Faircloth's current location address is 1222 George C Wilson Dr, Augusta, Georgia. You can contact this provider via phone number 7068689500 and fax number 7068685081. The mailing address for David Neal Faircloth is 1222 George C Wilson Dr, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Neal Faircloth |
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Address | 1222 George C Wilson Dr, Augusta, Georgia |
Phone Number | 7068689500 |
Fax Number | 7068685081 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1669404307 |
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Provider Enumeration Date | 2006-07-06 |
Last Updated Date | 2008-01-21 |
Provider Mailing Address Detail
Address | 1222 George C Wilson Dr |
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City | Augusta |
State | Georgia (GA) |
Post Code | 309094502 |
Phone Number | 7068689500 |
Fax Number | 7068685081 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 10995 |
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 |
---|---|---|---|
GRP5093 | GA | MEDICARE GA GROUP | |
Z33697 | SC | -- | |
7561 | SC | MEDICARE SC GROUP | |
00707396B | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to David Neal Faircloth by the Centers for Medicare & Medicaid Services?
The David Neal Faircloth has been issued the NPI (National Provider Identifier) 1669404307. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where David Neal Faircloth is geographically located?
The David Neal Faircloth is physically situated at the following location: 1222 George C Wilson Dr, Augusta, GA, 309094502.
What is the area of specialization for David Neal Faircloth, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Neal Faircloth is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the David Neal Faircloth receive the assignment of its 1669404307 from the Centers for Medicare & Medicaid Services?
The David Neal Faircloth was issued its 1669404307 by the Centers for Medicare & Medicaid Services on 2006-07-06.
As of what date were the details related to David Neal Faircloth most recently updated or revised?
The information pertaining to David Neal Faircloth, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-21.