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VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C.
NPI 1063682680
Clinic/Center - Oral and Maxillofacial Surgery in Vidalia, GA

Active since March 11, 2008
310 MAPLE DR, VIDALIA, GA 30474(912) 537-4119(912) 537-9117 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vidalia Oral And Maxillofacial Surgery, P.c. NPPES

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

VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C. (NPI 1063682680) is a healthcare organization registered as an oral and maxillofacial surgery in Vidalia, Georgia and active in the NPI registry since March 2008. The organization lists Ronald O Mosley, President, as its authorized official.

NPPES Registry Identity

NPI1063682680
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameVIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C.
Location Address310 MAPLE DRVidalia, GA 30474-8909
Mailing Address310 Maple DrVidalia, GA 30474-8909 · (912) 537-4119 · Fax (912) 537-9117
Phone(912) 537-4119
Fax(912) 537-9117
Organization SubpartNo
Authorized OfficialRonald O MosleyPresident · (912) 537-4119
Enumeration DateMarch 11, 2008
✔ NPI 1063682680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in GA · 01415
Definition
An oral and maxillofacial surgery clinic or center 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.
310 MAPLE DR, Vidalia, GA 30474
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Other Identifiers 2

Medicare UPINU22619GA
Medicare PIN19NCBDQGA

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.

DR. RONALD O MOSLEY DMD
Dentist (Oral and Maxillofacial Surgery)
310 MAPLE DR
VIDALIA, GA 30474
Toombs County (912) 537-4119
ANGLIA DAILEY FNP-C
Nurse Practitioner
310 MAPLE DR
VIDALIA, GA 30474
Toombs County (912) 805-2640
DAILEY PEDIATRICS AND FAMILY MEDICINE PC
Clinic/Center (Primary Care)
310 MAPLE DR
VIDALIA, GA 30474
Toombs County (912) 403-1324

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 Vidalia Oral And Maxillofacial Surgery, P.C.'s NPI number?

The NPI number for Vidalia Oral And Maxillofacial Surgery, P.C. is 1063682680. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Vidalia Oral And Maxillofacial Surgery, P.C. located?

Vidalia Oral And Maxillofacial Surgery, P.C. is located at 310 Maple Dr, Vidalia, GA 30474. The listed phone number is (912) 537-4119.

What is Vidalia Oral And Maxillofacial Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Vidalia Oral And Maxillofacial Surgery, P.C. was last updated on March 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.