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BULLOCH ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
NPI 1013235290
Dentist - Oral and Maxillofacial Surgery in Statesboro, GA

Active since May 12, 2010
301 FLORENCE AVE, STATESBORO, GA 30458(912) 764-7500(912) 764-7503 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bulloch Oral And Maxillofacial Surgery And Dental Implant Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BULLOCH ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER (NPI 1013235290) is a healthcare organization registered as an oral and maxillofacial surgery in Statesboro, Georgia and active in the NPI registry since May 2010. The organization lists Roger Lee Myers, Owner, as its authorized official.

NPPES Registry Identity

NPI1013235290
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBULLOCH ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
Location Address301 FLORENCE AVEStatesboro, GA 30458-5138
Mailing Address301 Florence AveStatesboro, GA 30458-5138 · (912) 764-7500 · Fax (912) 764-7503
Phone(912) 764-7500
Fax(912) 764-7503
Organization SubpartNo
Authorized OfficialRoger Lee MyersOwner · (912) 764-7500
Enumeration DateMay 12, 2010
✔ NPI 1013235290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in GA · DN013413
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
301 FLORENCE AVE, Statesboro, GA 30458
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Other Identifiers 1

Medicaid379753056CGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BULLOCH ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
Dentist (Oral and Maxillofacial Surgery)
301 FLORENCE AVE
STATESBORO, GA 30458
Bulloch County (912) 408-7100
EARSOURCE TECHNOLOGIES LLC
Audiologist
301 FLORENCE AVE
STATESBORO, GA 30458
Bulloch County (912) 764-6150
DR. RICHARD L. EMERT D.D.S.
Dentist
301 FLORENCE AVE
STATESBORO, GA 30458
Bulloch County (912) 489-2308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bulloch Oral And Maxillofacial Surgery And Dental Implant Center's NPI number?

The NPI number for Bulloch Oral And Maxillofacial Surgery And Dental Implant Center is 1013235290. It was assigned to this organization in the NPPES registry on May 12, 2010.

Where is Bulloch Oral And Maxillofacial Surgery And Dental Implant Center located?

Bulloch Oral And Maxillofacial Surgery And Dental Implant Center is located at 301 Florence Ave, Statesboro, GA 30458. The listed phone number is (912) 764-7500.

What is Bulloch Oral And Maxillofacial Surgery And Dental Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Bulloch Oral And Maxillofacial Surgery And Dental Implant Center was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.