STATESBORO ORAL AND MAXILLOFACIAL SURGERY, INC.
NPI 1497216980
Dentist - Oral and Maxillofacial Surgery in Statesboro, GA

Q: What is Statesboro Oral And Maxillofacial Surgery, Inc.'s specialty?

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

Active since March 27, 2019

4463 COUNTRY CLUB RD, STATESBORO, GA 30458(912) 764-4495(912) 764-3650 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Statesboro Oral And Maxillofacial Surgery, Inc. NPPES

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

STATESBORO ORAL AND MAXILLOFACIAL SURGERY, INC. (NPI 1497216980) is a healthcare organization registered as an oral and maxillofacial surgery in Statesboro, Georgia and active in the NPI registry since March 2019. The organization lists Troy M Lawhorn, President, as its authorized official.

NPPES Registry Identity

NPI1497216980

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSTATESBORO ORAL AND MAXILLOFACIAL SURGERY, INC.

Location Address4463 COUNTRY CLUB RDStatesboro, GA 30458-9188

Mailing Address4463 Country Club RdStatesboro, GA 30458-9188 · (912) 764-4495 · Fax (912) 764-3650

Phone(912) 764-4495

Fax(912) 764-3650

Organization SubpartNo

Authorized OfficialTroy M LawhornPresident · (912) 764-4495

Enumeration DateMarch 27, 2019

✔ NPI 1497216980 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 ListedDentistTaxonomy 122300000X

4463 COUNTRY CLUB RD, Statesboro, GA 30458

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Statesboro Oral And Maxillofacial Surgery, Inc.'s NPI number?

The NPI number for Statesboro Oral And Maxillofacial Surgery, Inc. is 1497216980. It was assigned to this organization in the NPPES registry on March 27, 2019.

Where is Statesboro Oral And Maxillofacial Surgery, Inc. located?

Statesboro Oral And Maxillofacial Surgery, Inc. is located at 4463 Country Club Rd, Statesboro, GA 30458. The listed phone number is (912) 764-4495.

What is Statesboro Oral And Maxillofacial Surgery, Inc.'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 Statesboro Oral And Maxillofacial Surgery, Inc. was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.