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SOUTHERN ORAL SURGERY & IMPLANT SPECIALISTS PC
NPI 1073496253
Dentist - Oral and Maxillofacial Surgery in Augusta, GA

Active since July 28, 2025
3634 WHEELER RD, AUGUSTA, GA 30909(706) 860-8228(706) 860-7222 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Oral Surgery & Implant Specialists Pc NPPES

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

SOUTHERN ORAL SURGERY & IMPLANT SPECIALISTS PC (NPI 1073496253) is a healthcare organization registered as an oral and maxillofacial surgery in Augusta, Georgia and active in the NPI registry since July 2025. The organization lists Claire D Shivers, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1073496253
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHERN ORAL SURGERY & IMPLANT SPECIALISTS PC
Location Address3634 WHEELER RDAugusta, GA 30909-6518
Mailing Address3634 Wheeler RdAugusta, GA 30909-6518 · (706) 860-8228 · Fax (706) 860-7222
Phone(706) 860-8228
Fax(706) 860-7222
Organization SubpartNo
Authorized OfficialClaire D ShiversPractice Administrator · (706) 860-8228
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 27, 2025
✔ NPI 1073496253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
3634 WHEELER RD, Augusta, GA 30909
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

PRATIKKUMAR PRAVINBHAI PATEL DDS
Dentist (Oral and Maxillofacial Surgery)
3634 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 860-8228
DR. RONALD THOMAS PEACOCK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3634 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 860-8228
ORAL SURGERY OF WEST AUGUSTA PC
Oral & Maxillofacial Surgery
3634 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 860-8228
DRS. PEACOCK & RAFOTH, P.C.
Dentist (Oral and Maxillofacial Surgery)
3634 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 860-8228
DR. ROBERT F RAFOTH D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3634 WHEELER RD
AUGUSTA, GA 30909
Richmond County (706) 860-8228

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 Southern Oral Surgery & Implant Specialists PC's NPI number?

The NPI number for Southern Oral Surgery & Implant Specialists PC is 1073496253. It was assigned to this organization in the NPPES registry on July 28, 2025.

Where is Southern Oral Surgery & Implant Specialists PC located?

Southern Oral Surgery & Implant Specialists PC is located at 3634 Wheeler Rd, Augusta, GA 30909. The listed phone number is (706) 860-8228.

What is Southern Oral Surgery & Implant Specialists PC's specialty?

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

What insurance does Southern Oral Surgery & Implant Specialists PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Oral Surgery & Implant Specialists PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Oral Surgery & Implant Specialists PC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.