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EAST GEORGIA CENTER FOR ORAL & FACIAL SURGERY LLC
NPI 1215270970
Dentist - Oral and Maxillofacial Surgery in Statesboro, GA

Active since April 01, 2013
1222 BRAMPTON AVE, STATESBORO, GA 30458(912) 764-5435(912) 764-9789 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About East Georgia Center For Oral & Facial Surgery Llc NPPES

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

EAST GEORGIA CENTER FOR ORAL & FACIAL SURGERY LLC (NPI 1215270970) is a healthcare organization registered as an oral and maxillofacial surgery in Statesboro, Georgia and active in the NPI registry since April 2013. The organization maintains a secondary practice location in Swainsboro and lists Suketu J. Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1215270970
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEAST GEORGIA CENTER FOR ORAL & FACIAL SURGERY LLC
Location Address1222 BRAMPTON AVEStatesboro, GA 30458-0849
Mailing Address1222 Brampton AveStatesboro, GA 30458-0849 · (912) 764-5435 · Fax (912) 764-9789
Phone(912) 764-5435
Fax(912) 764-9789
Organization SubpartNo
Authorized OfficialSuketu J. PatelOwner · (912) 764-5435
Enumeration DateApril 1, 2013
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1215270970 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 · DN014505
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.
1222 BRAMPTON AVE, Statesboro, GA 30458
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Secondary Practice Location 1

Location 16 Medical Office WaySwainsboro, GA 30401-3263 · Phone (478) 419-2100 · Fax (478) 419-2300

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 MULTIPLE 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. SUKETU J. PATEL DMD, MD
Dentist (Oral and Maxillofacial Surgery)
1222 BRAMPTON AVE
STATESBORO, GA 30458
Bulloch County (912) 665-8657

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 Center For Oral & Facial Surgery LLC's NPI number?

The NPI number for East Georgia Center For Oral & Facial Surgery LLC is 1215270970. It was assigned to this organization in the NPPES registry on April 1, 2013.

Where is East Georgia Center For Oral & Facial Surgery LLC located?

East Georgia Center For Oral & Facial Surgery LLC is located at 1222 Brampton Ave, Statesboro, GA 30458. The listed phone number is (912) 764-5435.

What is East Georgia Center For Oral & Facial 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 East Georgia Center For Oral & Facial Surgery LLC was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.