Bulloch Oral And Maxillofacial Surgery And Dental Implant Center
LBN: Bulloch Oral And Maxillofacial Surgery And Dental Implant Center
Bulloch Oral And Maxillofacial Surgery And Dental Implant Center is an health care organization with primary practice located at 301 Florence Ave , Statesboro GA 30458-5138. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Bulloch Oral And Maxillofacial Surgery And Dental Implant Center can be contacted via phone (912) 764-7500, or through Myers, Roger Lee via phone (912) 764-7500.
Contact Information
Primary practice address
301 Florence Ave
Statesboro GA 30458-5138
Phone: (912) 764-7500
Fax: (912) 764-7503
Website:
Authorized official contact:
Name: Myers, Roger Lee Doctor of Dental Medicine (DMD)
Phone: (912) 764-7500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN013413 | Georgia |
Profile Details
| NPI number | 1013235290 |
|---|---|
| LBN Legal business name | Bulloch Oral And Maxillofacial Surgery And Dental Implant Center |
| DBA Doing business as | |
| Authorized official | Myers, Roger Lee Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2010 |
| Last updated | May 12th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013235290 | NPPES |
| Georgia | MEDICAID | 379753056C |
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