Central Georgia Oral And Maxillofacial Surgery, Llc
LBN: Central Georgia Oral And Maxillofacial Surgery, Llc
Central Georgia Oral And Maxillofacial Surgery, Llc is an health care organization with primary practice located at 740 First St. , Macon GA 31201-6840. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Central Georgia Oral And Maxillofacial Surgery, Llc can be contacted via phone (478) 745-0200, or through Marlow, Clyde D via phone (478) 745-0200.
Contact Information
Primary practice address
740 First St.
Macon GA 31201-6840
Phone: (478) 745-0200
Fax:
Website:
Authorized official contact:
Name: Marlow, Clyde D Doctor of Dental Surgery (DDS)
Phone: (478) 745-0200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6880 | Georgia |
Profile Details
| NPI number | 1023234853 |
|---|---|
| LBN Legal business name | Central Georgia Oral And Maxillofacial Surgery, Llc |
| DBA Doing business as | |
| Authorized official | Marlow, Clyde D Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Oct 1st, 2008 - about 16 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 | 1023234853 | NPPES |
| Georgia | Other | 6880 | LICENSE |
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