AUGUSTA ORAL SURGERY SPECIALISTS PC NPI 1861670143

NPI Information

AUGUSTA ORAL SURGERY SPECIALISTS PC 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. AUGUSTA ORAL SURGERY SPECIALISTS PC NPI is 1861670143. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3736 WALTON WAY EXT
AUGUSTA, GA
ZIP 30907-402
Phone: (706) 228-3100
Fax: (706) 228-3707

The provider's authorized official is Samuel C D'arco .
The authorized official title is Owner and has the following contact phone number (706) 228-3100.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 10/30/2012.

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:

Other Identifiers

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