SOUTHWEST ORAL AND MAXILLOFACIAL SURGERY,LLC
NPI 1023347937
Dentist - Oral and Maxillofacial Surgery in Albany, GA

Q: What is Southwest 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.

Active since December 24, 2009

620 POINTE NORTH BOULEVARD, ALBANY, GA 31721(678) 350-6566 Get Directions Write a Review

NPPES record last updated: December 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southwest Oral And Maxillofacial Surgery,llc NPPES

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

SOUTHWEST ORAL AND MAXILLOFACIAL SURGERY,LLC (NPI 1023347937) is a healthcare organization registered as an oral and maxillofacial surgery in Albany, Georgia and active in the NPI registry since December 2009. The organization lists Brad J Harris, Sole Member/oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1023347937

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHWEST ORAL AND MAXILLOFACIAL SURGERY,LLC

Location Address620 POINTE NORTH BOULEVARDAlbany, GA 31721

Mailing AddressPo Box 4896Canton, GA 30114-0026 · (678) 350-6566

Phone(678) 350-6566

Organization SubpartNo

Authorized OfficialBrad J HarrisSole Member/oral Surgeon · (678) 350-6566

Enumeration DateDecember 24, 2009

✔ NPI 1023347937 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 · DNO12915

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.

620 POINTE NORTH BOULEVARD, Albany, GA 31721

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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 Southwest Oral And Maxillofacial Surgery,llc's NPI number?

The NPI number for Southwest Oral And Maxillofacial Surgery,llc is 1023347937. It was assigned to this organization in the NPPES registry on December 24, 2009.

Where is Southwest Oral And Maxillofacial Surgery,llc located?

Southwest Oral And Maxillofacial Surgery,llc is located at 620 Pointe North Boulevard, Albany, GA 31721. The listed phone number is (678) 350-6566.

What is Southwest 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 Southwest Oral And Maxillofacial Surgery,llc was last updated on December 24, 2009. 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.