VALDOSTA ORAL AND MAXILLOFACIAL SURGEONS
NPI 1912173022
Dentist - Oral and Maxillofacial Surgery in Valdosta, GA

Q: What is Valdosta Oral And Maxillofacial Surgeons's specialty?

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

Active since May 08, 2008

2720 N OAK ST, VALDOSTA, GA 31602(229) 247-5590(229) 241-0698 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Valdosta Oral And Maxillofacial Surgeons NPPES

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

VALDOSTA ORAL AND MAXILLOFACIAL SURGEONS (NPI 1912173022) is a healthcare organization registered as an oral and maxillofacial surgery in Valdosta, Georgia and active in the NPI registry since May 2008. The organization lists Janice Martin, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1912173022

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameVALDOSTA ORAL AND MAXILLOFACIAL SURGEONS

Location Address2720 N OAK STValdosta, GA 31602-1781

Mailing Address2720 N Oak StValdosta, GA 31602-1781 · (229) 247-5590 · Fax (229) 241-0698

Phone(229) 247-5590

Fax(229) 241-0698

Organization SubpartNo

Authorized OfficialJanice MartinAdministrative Assistant · (229) 247-5590

Enumeration DateMay 8, 2008

✔ NPI 1912173022 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 · DN008219

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.

2720 N OAK ST, Valdosta, GA 31602

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Other Identifiers 2

Medicare UPINU22620

OtherGRP6639GA · Medicare Group Number

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

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. JOHN DAVID ROAN DDS

Dentist (Oral and Maxillofacial Surgery)

2720 N OAK ST
VALDOSTA, GA 31602

Lowndes County (229) 247-5590

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 Valdosta Oral And Maxillofacial Surgeons's NPI number?

The NPI number for Valdosta Oral And Maxillofacial Surgeons is 1912173022. It was assigned to this organization in the NPPES registry on May 8, 2008.

Where is Valdosta Oral And Maxillofacial Surgeons located?

Valdosta Oral And Maxillofacial Surgeons is located at 2720 N Oak St, Valdosta, GA 31602. The listed phone number is (229) 247-5590.

What is Valdosta Oral And Maxillofacial Surgeons'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 Valdosta Oral And Maxillofacial Surgeons was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.