Center For Oral & Maxillofacial Surgery
LBN: Center For Oral & Maxillofacial Surgery
Center For Oral & Maxillofacial Surgery is an health care organization with primary practice located at 7011 Evans Town Center Blvd , Evans GA 30809-4315. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Center For Oral & Maxillofacial Surgery can be contacted via phone (706) 724-8735, or through O'Neal, Kyle H via phone (706) 724-8735.
Contact Information
Primary practice address
7011 Evans Town Center Blvd
Evans GA 30809-4315
Phone: (706) 724-8735
Fax: (706) 722-7037
Website:
Authorized official contact:
Name: O'Neal, Kyle H Doctor of Dental Surgery (DDS)
Phone: (706) 724-8735
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7520 | Georgia |
Profile Details
| NPI number | 1538112016 |
|---|---|
| LBN Legal business name | Center For Oral & Maxillofacial Surgery |
| DBA Doing business as | |
| Authorized official | O'Neal, Kyle H Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Feb 3rd, 2017 - about 7 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 | 1538112016 | NPPES |
| Georgia | MEDICAID | 300020478A | |
| Georgia | MEDICAID | ZAG985 |
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