Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C.
Active OrganizationVIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C. is a Oral and Maxillofacial Surgery Clinic organization located in VIDALIA, Georgia. NPI 1063682680 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · VIDALIA, GA
Registration Details
- NPI Number
- 1063682680
- Provider Type
- Organization
- NPI Issued
- Mar 11, 2008 (18.245535976771 yrs)
- Last Updated
- Mar 11, 2008
- License
-
01415 (GA)
Practice Information
- Address
-
310 MAPLE DRVIDALIA, GA, 304748909Browse GA providers · Browse ZIP 30474
- Phone
- 9125374119
- Fax
- 9125379117
- Primary Specialty
-
Oral and Maxillofacial Surgery Clinic
261QS0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.