Oral & Facial Surgery Of West Georgia

LBN: Oral & Facial Surgery Of East Alabama, Llc
Oral & Facial Surgery Of West Georgia is an health care organization with primary practice located at 4405 N Stadium Drive Suite A, Columbus GA 31909. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Oral & Facial Surgery Of East Alabama, Llc can be contacted via phone (334) 749-3436, or through Fuqua, Thomas H via phone (334) 749-3436.

Contact Information

Primary practice address
4405 N Stadium Drive Suite A Columbus GA 31909
Phone: (334) 749-3436
Fax: (334) 749-3233
Website:
Map and Directions
Authorized official contact:
Name: Fuqua, Thomas H DMD, MD
Phone: (334) 749-3436

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X MD28533 Alabama

Profile Details

NPI number 1225543515
LBN Legal business name Oral & Facial Surgery Of East Alabama, Llc
DBA Doing business as Oral & Facial Surgery Of West Georgia
Authorized official Fuqua, Thomas H DMD, MD
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 8th, 2017
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225543515 NPPES
Georgia MEDICAID 003194410A

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