Organization
SOUTHERN ORAL SURGERY & IMPLANT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE D SHIVERS (PRACTICE ADMINISTRATOR)
(706) 860-8228
Entity
Organization
Contact information
Practice address
3634 WHEELER RD, AUGUSTA, GA 30909-6518
(706) 860-8228
(706) 860-7222
Mailing address
3634 WHEELER RD, AUGUSTA, GA 30909-6518
(706) 860-8228
(706) 860-7222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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