Organization
EAST GEORGIA CENTER FOR ORAL & FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKETU J. PATEL DMD, MD (OWNER)
(912) 764-5435
Entity
Organization
Contact information
Practice address
1222 BRAMPTON AVE, STATESBORO, GA 30458-0849
(912) 764-5435
(912) 764-9789
Mailing address
1222 BRAMPTON AVE, STATESBORO, GA 30458-0849
(912) 764-5435
(912) 764-9789
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014505
GA
Other
Enumeration date
04/01/2013
Last updated
05/22/2024
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