Organization
GA ORAL AND FACIAL SURGERY LLC
Active
Other names
Dawson Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE HOLLOWAY (DIRECTOR OF RCM)
(854) 200-7970
Entity
Organization
Contact information
Practice address
200 DAWSON COMMONS CIR STE 210, DAWSONVILLE, GA 30534-6265
(706) 265-1700
Mailing address
3700 INGLESIDE BLVD, LADSON, SC 29456-4141
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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