MIDDLE GEORGIA ORAL AND MAXILLOFACIAL SURGERY LLC
NPI 1942862859
Dentist - Oral and Maxillofacial Surgery in Dublin, GA

Active since July 01, 2019
117 S CALHOUN ST, DUBLIN, GA 31021(706) 340-3408 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Middle Georgia Oral And Maxillofacial Surgery Llc NPPES

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

MIDDLE GEORGIA ORAL AND MAXILLOFACIAL SURGERY LLC (NPI 1942862859) is a healthcare organization registered as an oral and maxillofacial surgery in Dublin, Georgia and active in the NPI registry since July 2019. The organization lists Glendon William Smalley, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1942862859
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMIDDLE GEORGIA ORAL AND MAXILLOFACIAL SURGERY LLC
Location Address117 S CALHOUN STDublin, GA 31021-5245
Mailing Address401 Crest DrBirmingham, AL 35209-5525 · (478) 290-7275
Organization SubpartNo
Authorized OfficialGlendon William SmalleyOral Surgeon · (706) 340-3408
Enumeration DateJuly 1, 2019
NPI 1942862859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
117 S CALHOUN ST, Dublin, GA 31021

Other Identifiers 1

OtherDN014148GA · State License

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

Other Providers at the Same Location NPPES

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

Oral & Maxillofacial Surgery
117 S CALHOUN ST
DUBLIN, GA 31021

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 Middle Georgia Oral And Maxillofacial Surgery LLC's NPI number?

The NPI number for Middle Georgia Oral And Maxillofacial Surgery LLC is 1942862859. It was assigned to this organization in the NPPES registry on July 1, 2019.

Where is Middle Georgia Oral And Maxillofacial Surgery LLC located?

Middle Georgia Oral And Maxillofacial Surgery LLC is located at 117 S Calhoun St, Dublin, GA 31021. The listed phone number is (706) 340-3408.

What is Middle Georgia Oral And Maxillofacial Surgery 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 Middle Georgia Oral And Maxillofacial Surgery LLC was last updated on July 1, 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.