BULLOCH ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
NPI 1013235290
Dentist - Oral and Maxillofacial Surgery in Statesboro, GA
- Organization
- Dentist
- Oral and Maxillofacial Surgery
About BULLOCH ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
This page provides the complete NPI Profile along with additional information for Bulloch Oral And Maxillofacial Surgery And Dental Implant Center, a provider established in Statesboro, Georgia operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1013235290 assigned on May 2010. The practitioner's primary taxonomy code is 1223S0112X with license number DN013413 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Roger Lee Myers Dmd (Owner)
- NPI
- 1013235290 Verify this NPI
- Provider Name
- BULLOCH ORAL AND MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER
- Entity Type
- Organization
- Location Address
- 301 FLORENCE AVE STATESBORO, GA 30458
- Location Phone
- (912) 764-7500
- Location Fax
- (912) 764-7503
- Mailing Address
- 301 FLORENCE AVE STATESBORO, GA 30458
- Mailing Phone
- (912) 764-7500
- Mailing Fax
- (912) 764-7503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-12-2010
- Last Update Date
- 05-12-2010
- Code Navigator
A dentist like Bulloch Oral And Maxillofacial Surgery And Dental Implant Center is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- DN013413
- License State
- GA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 379753056C | MEDICAID (05) | GA |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
STATESBORO, GA 30458
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013235290, enumerated as an "organization" on May 12, 2010.
The provider is located at 301 FLORENCE AVE STATESBORO, GA 30458 and the phone number is (912) 764-7500.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
