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SOUTHERN ORAL SURGERY PC
NPI 1881629392
Dentist - Oral and Maxillofacial Surgery in Griffin, GA

Active since July 12, 2006
614 S 8TH ST, GRIFFIN, GA 30224(770) 228-1010(678) 692-0242 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Oral Surgery Pc NPPES

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

SOUTHERN ORAL SURGERY PC (NPI 1881629392), doing business as Drs Gruskin Lucas & Ferrara Pc, is a healthcare organization registered as an oral and maxillofacial surgery in Griffin, Georgia and active in the NPI registry since July 2006. The organization lists Eric D Ferrara, Owner, as its authorized official.

NPPES Registry Identity

NPI1881629392
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHERN ORAL SURGERY PC
Location Address614 S 8TH STGriffin, GA 30224-4214
Mailing Address614 S 8th StGriffin, GA 30224-4214 · (770) 228-1010 · Fax (678) 692-0242
Phone(770) 228-1010
Fax(678) 692-0242
Organization SubpartNo
Authorized OfficialEric D FerraraOwner · (770) 228-1010
Enumeration DateJuly 12, 2006
Last NPPES UpdateOctober 12, 2011
✔ NPI 1881629392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in GA · DN013416✔ Licensed in GA · DN012761
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.
614 S 8TH ST, Griffin, GA 30224
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Other Names 1

Former Legal Business NameDrs Gruskin Lucas & Ferrara Pc

Other Identifiers 4

Medicaid003109984AGA
Medicare UPINU96963OH
Medicaid178058507BGA
Medicaid178058507AGA

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 4

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

DR. VICTOR C NJOKU M.D.
Surgery (Vascular Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (678) 688-8140
VASCULAR WELLNESS CENTER
Surgery (Vascular Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (678) 688-8140
DR. ERIC D FERRARA DDS
Dentist (Oral and Maxillofacial Surgery)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-1010
VANITA S PULLIAM MSN, ACNP
Nurse Practitioner (Acute Care)
614 S 8TH ST
GRIFFIN, GA 30224
Spalding County (678) 688-8140

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 Southern Oral Surgery PC's NPI number?

The NPI number for Southern Oral Surgery PC is 1881629392. It was assigned to this organization in the NPPES registry on July 12, 2006. The provider was formerly known as Drs Gruskin Lucas & Ferrara PC.

Where is Southern Oral Surgery PC located?

Southern Oral Surgery PC is located at 614 S 8th St, Griffin, GA 30224. The listed phone number is (770) 228-1010.

What is Southern Oral Surgery PC'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 Southern Oral Surgery PC was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.