Organization
CENTER FOR ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH BROWNE (BILLING DEPARTMENT)
(706) 724-8735
Entity
Organization
Contact information
Practice address
7011 EVANS TOWN CENTER BLVD, EVANS, GA 30809-4315
(706) 724-8735
(706) 722-7037
Mailing address
7011 EVANS TOWN CENTER BLVD, EVANS, GA 30809-4315
(706) 724-8735
(706) 722-7037
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7520
GA
Other
Enumeration date
05/18/2006
Last updated
06/19/2025
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