CORNERSTONE ORAL AND MAXILLOFACIAL SURGERY NPI 1356983746

NPI Information

  • NPI: 1356983746
  • Provider Name: CORNERSTONE ORAL AND MAXILLOFACIAL SURGERY
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 403 COWART AVE
    VALDOSTA, GA
    ZIP 31602
  • Phone: (912) 408-7100

Map and Directions

Get Directions

NPI Details

CORNERSTONE ORAL AND MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Valdosta, GA. The provider is 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. CORNERSTONE ORAL AND MAXILLOFACIAL SURGERY NPI is 1356983746. The provider is registered as an organization entity type.

The provider's business location address is:

403 COWART AVE
VALDOSTA, GA
ZIP 31602-635
Phone: (912) 408-7100
Fax: (912) 408-7101

The provider's authorized official is Roger Myers .
The authorized official title is Owner and has the following contact phone number (912) 432-0685.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 10/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.