Provider Type Icon

SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C. NPI 1801920301


NPI Information

NPI: 1801920301
Provider Name: SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4815 PAULSEN ST
SAVANNAH, GA
ZIP 31405
Phone: (912) 352-2324
Get Directions

SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C. is an oral and maxillofacial surgery dentist in Savannah, GA. The provider is the specialty of dentistry which includes 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. SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C. NPI is 1801920301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4815 PAULSEN ST
SAVANNAH, GA
ZIP 31405-418
Phone: (912) 352-2324
Fax: (912) 354-0935

The provider's authorized official is Elaine Lieupo Carter .
The authorized official title is Administrator and has the following contact phone number (912) 352-2324.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryGEORGIANo
2204E00000XOral & Maxillofacial SurgeryNo
31223S0112XDentistOral 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: 11/14/2023

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.