LAKE OCONEE ORAL AND MAXILLOFACIAL SURGERY, P.C.
NPI 1154681195
Dentist - Oral and Maxillofacial Surgery in Greensboro, GA

Q: What is Lake Oconee Oral And Maxillofacial Surgery, P.C.'s specialty?

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

Active since May 24, 2012

1031 FOUNDERS ROW, GREENSBORO, GA 30642(706) 454-1500(706) 454-1501 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Lake Oconee Oral And Maxillofacial Surgery, P.c. NPPES

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

LAKE OCONEE ORAL AND MAXILLOFACIAL SURGERY, P.C. (NPI 1154681195) is a healthcare organization registered as an oral and maxillofacial surgery in Greensboro, Georgia and active in the NPI registry since May 2012. The organization lists David Clay Miller, President, as its authorized official.

NPPES Registry Identity

NPI1154681195

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameLAKE OCONEE ORAL AND MAXILLOFACIAL SURGERY, P.C.

Location Address1031 FOUNDERS ROWGreensboro, GA 30642

Mailing Address1031 Founders RowGreensboro, GA 30642 · (706) 454-1500 · Fax (706) 454-1501

Phone(706) 454-1500

Fax(706) 454-1501

Organization SubpartNo

Authorized OfficialDavid Clay MillerPresident · (706) 454-1500

Enumeration DateMay 24, 2012

Last NPPES UpdateJune 29, 2012

✔ NPI 1154681195 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 · DN012341

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.

1031 FOUNDERS ROW, Greensboro, GA 30642

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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

Other Providers at the Same Location NPPES

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

DR. DAVID CLAY MILLER DDS

Dentist (Oral and Maxillofacial Surgery)

1031 FOUNDERS ROW
GREENSBORO, GA 30642

Greene County (706) 454-1500

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

The NPI number for Lake Oconee Oral And Maxillofacial Surgery, P.C. is 1154681195. It was assigned to this organization in the NPPES registry on May 24, 2012.

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

Lake Oconee Oral And Maxillofacial Surgery, P.C. is located at 1031 Founders Row, Greensboro, GA 30642. The listed phone number is (706) 454-1500.

What is Lake Oconee Oral And Maxillofacial Surgery, P.C.'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 Lake Oconee Oral And Maxillofacial Surgery, P.C. was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.