ORAL & FACIAL SURGERY OF WEST GEORGIA
NPI 1225543515
Dentist - Oral and Maxillofacial Surgery in Columbus, GA

Q: What is Oral & Facial Surgery Of East Alabama, LLC's specialty?

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

Active since December 08, 2017

4405 N STADIUM DRIVE, SUITE A, COLUMBUS, GA 31909(334) 749-3436(334) 749-3233 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Oral & Facial Surgery Of West Georgia NPPES

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

ORAL & FACIAL SURGERY OF WEST GEORGIA (NPI 1225543515) is a healthcare organization registered as an oral and maxillofacial surgery in Columbus, Georgia and active in the NPI registry since December 2017. The organization lists Thomas H Fuqua, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1225543515

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameORAL & FACIAL SURGERY OF EAST ALABAMA, LLC

Location Address4405 N STADIUM DRIVE, SUITE AColumbus, GA 31909

Mailing Address747 N Dean RoadAuburn, AL 36830 · (334) 749-3436 · Fax (334) 749-3233

Phone(334) 749-3436

Fax(334) 749-3233

Organization SubpartYes

Authorized OfficialThomas H FuquaManaging Member · (334) 749-3436

Enumeration DateDecember 8, 2017

✔ NPI 1225543515 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 AL · MD28533

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.

4405 N STADIUM DRIVE, Columbus, GA 31909

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Other Names 1

Doing Business AsOral & Facial Surgery Of West Georgia

Other Identifiers 1

Medicaid003194410AGA

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

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 Oral & Facial Surgery Of East Alabama, LLC's NPI number?

The NPI number for Oral & Facial Surgery Of East Alabama, LLC is 1225543515. It was assigned to this organization in the NPPES registry on December 8, 2017. The provider is doing business as Oral & Facial Surgery Of West Georgia.

Where is Oral & Facial Surgery Of East Alabama, LLC located?

Oral & Facial Surgery Of East Alabama, LLC is located at 4405 N Stadium Drive Suite A, Columbus, GA 31909. The listed phone number is (334) 749-3436.

What is Oral & Facial Surgery Of East Alabama, 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 Oral & Facial Surgery Of East Alabama, LLC was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.