CORNERSTONE ORAL AND MAXILLOFACIAL SURGERY
NPI 1356983746
Dentist - Oral and Maxillofacial Surgery in Valdosta, GA

Q: What is Cornerstone Oral And Maxillofacial Surgery's specialty?

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

Active since October 17, 2019

403 COWART AVE, VALDOSTA, GA 31602(912) 408-7100(912) 408-7101 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cornerstone Oral And Maxillofacial Surgery NPPES

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

CORNERSTONE ORAL AND MAXILLOFACIAL SURGERY (NPI 1356983746) is a healthcare organization registered as an oral and maxillofacial surgery in Valdosta, Georgia and active in the NPI registry since October 2019. The organization lists Roger Myers, Owner, as its authorized official.

NPPES Registry Identity

NPI1356983746

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCORNERSTONE ORAL AND MAXILLOFACIAL SURGERY

Location Address403 COWART AVEValdosta, GA 31602-2635

Mailing AddressPo Box 372Pooler, GA 31322-0372 · (912) 432-0685 · Fax (912) 408-7101

Phone(912) 408-7100

Fax(912) 408-7101

Organization SubpartNo

Authorized OfficialRoger MyersOwner · (912) 432-0685

Enumeration DateOctober 17, 2019

✔ NPI 1356983746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X

403 COWART AVE, Valdosta, GA 31602

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Other Names 1

Other NameCorenerstone Oral And Maxillofacial Surgery

Other Providers at the Same Location NPPES 2

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

DAVID W RETTERBUSH M.D.

Surgery

403 COWART AVE
VALDOSTA, GA 31602

Lowndes County (229) 244-0034

DAVID W RETTERBUSH MD PC

Surgery

403 COWART AVE
VALDOSTA, GA 31602

Lowndes County (229) 244-0034

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 Cornerstone Oral And Maxillofacial Surgery's NPI number?

The NPI number for Cornerstone Oral And Maxillofacial Surgery is 1356983746. It was assigned to this organization in the NPPES registry on October 17, 2019. The provider is also known as Corenerstone Oral And Maxillofacial surgery.

Where is Cornerstone Oral And Maxillofacial Surgery located?

Cornerstone Oral And Maxillofacial Surgery is located at 403 Cowart Ave, Valdosta, GA 31602. The listed phone number is (912) 408-7100.

What is Cornerstone Oral And Maxillofacial Surgery'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 Cornerstone Oral And Maxillofacial Surgery was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.