FAIRCLOTH BAKEMAN PARTNERSHIP NPI 1649209859

NPI Information

  • NPI: 1649209859
  • Provider Name: FAIRCLOTH BAKEMAN PARTNERSHIP
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: AIKEN/AUGUSTA ORAL & FACIAL SURGERY
  • Address: 1222 GEORGE C WILSON DR
    AUGUSTA, GA
    ZIP 30909
  • Phone: (706) 868-9500

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NPI Details

FAIRCLOTH BAKEMAN PARTNERSHIP is an oral and maxillofacial surgery dentist in Augusta, 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. FAIRCLOTH BAKEMAN PARTNERSHIP NPI is 1649209859. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aiken/augusta Oral & Facial Surgery.

The provider's business location address is:

1222 GEORGE C WILSON DR
AUGUSTA, GA
ZIP 30909-502
Phone: (706) 868-9500
Fax: (706) 868-5081

The provider's authorized official is Pamela S Cockrell .
The authorized official title is Insurance Coordinator and has the following contact phone number (706) 868-9500.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 9/24/2008.

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
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17561OTHERSOUTH CAROLINAMEDICARE GROUP PIN
2GRP5093OTHERGEORGIAMEDICARE GROUP PIN
3ZA9893MEDICAIDSOUTH CAROLINA
4ZAG992MEDICAIDGEORGIA

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

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