CENTRAL GEORGIA ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI 1023234853
Dentist - Oral and Maxillofacial Surgery in Macon, GA

Active since April 18, 2007
740 FIRST ST., MACON, GA 31201(478) 745-0200 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Central Georgia Oral And Maxillofacial Surgery, Llc NPPES

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

CENTRAL GEORGIA ORAL AND MAXILLOFACIAL SURGERY, LLC (NPI 1023234853) is a healthcare organization registered as an oral and maxillofacial surgery in Macon, Georgia and active in the NPI registry since April 2007. The organization lists Clyde D Marlow, President, as its authorized official.

NPPES Registry Identity

NPI1023234853
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTRAL GEORGIA ORAL AND MAXILLOFACIAL SURGERY, LLC
Location Address740 FIRST ST.Macon, GA 31201-6840
Mailing Address740 First St.Macon, GA 31201-6840 · (478) 745-0200
Organization SubpartNo
Authorized OfficialClyde D MarlowPresident · (478) 745-0200
Enumeration DateApril 18, 2007
Last NPPES UpdateOctober 1, 2008
NPI 1023234853 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 · 6880
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.
740 FIRST ST., Macon, GA 31201

Other Identifiers 1

Other6880GA · License

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

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 Central Georgia Oral And Maxillofacial Surgery, LLC's NPI number?

The NPI number for Central Georgia Oral And Maxillofacial Surgery, LLC is 1023234853. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Central Georgia Oral And Maxillofacial Surgery, LLC located?

Central Georgia Oral And Maxillofacial Surgery, LLC is located at 740 First St., Macon, GA 31201. The listed phone number is (478) 745-0200.

What is Central Georgia Oral And Maxillofacial Surgery, LLC'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 Central Georgia Oral And Maxillofacial Surgery, LLC was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.