1. Home
  2. Directory
  3. Georgia
  4. Statesboro
  5. Clinic Center
  6. NPI Profile

EAST GEORGIA ORAL & MAXILLOFACIAL SURGERY CENTER
NPI 1184946337
Clinic/Center - Dental in Statesboro, GA

Active since February 15, 2010
613 E GRADY ST, STATESBORO, GA 30458(912) 764-5435(912) 764-9789 Get Directions Write a Review

NPPES record last updated: February 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Georgia Oral & Maxillofacial Surgery Center NPPES

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

EAST GEORGIA ORAL & MAXILLOFACIAL SURGERY CENTER (NPI 1184946337) is a healthcare organization registered as a dental in Statesboro, Georgia and active in the NPI registry since February 2010. The organization lists Rodrigo Lorenzo Uribe, Owner, as its authorized official.

NPPES Registry Identity

NPI1184946337
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEAST GEORGIA ORAL & MAXILLOFACIAL SURGERY CENTER
Location Address613 E GRADY STStatesboro, GA 30458-5104
Mailing Address613 E Grady StStatesboro, GA 30458-5104 · (912) 764-5435 · Fax (912) 764-9789
Phone(912) 764-5435
Fax(912) 764-9789
Organization SubpartNo
Authorized OfficialRodrigo Lorenzo UribeOwner · (912) 764-5435
Enumeration DateFebruary 15, 2010
✔ NPI 1184946337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in GA · 11060✔ Licensed in GA · 012756
613 E GRADY ST, Statesboro, GA 30458
Open in Google Maps ↗

Other Identifiers 2

Medicaid000514489AGA
Medicaid478841397BGA

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. ANJALI PURI PATEL DMD
Dentist
613 E GRADY ST
STATESBORO, GA 30458
Bulloch County (912) 259-9543
STATESBORO PEDIATRIC DENTISTRY, LLC
Dentist (Pediatric Dentistry)
613 E GRADY ST
STATESBORO, GA 30458
Bulloch County (478) 456-5907
DR. RODRIGO LORENZO URIBE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
613 E GRADY ST
STATESBORO, GA 30458
Bulloch County (912) 764-5435

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 East Georgia Oral & Maxillofacial Surgery Center's NPI number?

The NPI number for East Georgia Oral & Maxillofacial Surgery Center is 1184946337. It was assigned to this organization in the NPPES registry on February 15, 2010.

Where is East Georgia Oral & Maxillofacial Surgery Center located?

East Georgia Oral & Maxillofacial Surgery Center is located at 613 E Grady St, Statesboro, GA 30458. The listed phone number is (912) 764-5435.

What is East Georgia Oral & Maxillofacial Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for East Georgia Oral & Maxillofacial Surgery Center was last updated on February 15, 2010. 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.