| Center For Oral & Maxillofacial Surgery | |
|
7011 Evans Town Center Blvd Evans GA 30809-4315 | |
| (706) 724-8735 | |
| (706) 722-7037 |
| Full Name | Center For Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 7011 Evans Town Center Blvd, Evans, Georgia |
| Authorized Official Name and Position | Kyle H O'neal (PRESIDENT) |
| Authorized Official Contact | 7067248735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Oral & Maxillofacial Surgery 7011 Evans Town Center Blvd Evans GA 30809-4315 Ph: (706) 724-8735 | Center For Oral & Maxillofacial Surgery 7011 Evans Town Center Blvd Evans GA 30809-4315 Ph: (706) 724-8735 |
| NPI Number | 1538112016 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 02/03/2017 |
| Medicare PECOS PAC ID | 7618966573 |
|---|---|
| Medicare Enrollment ID | O20040507000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538112016 | NPI | - | NPPES |
| 300020478A | Medicaid | GA | |
| ZAG985 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7520 (Georgia) | Primary |
| Provider Name | William A Trotter |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548243975 PECOS PAC ID: 5991716318 Enrollment ID: I20060525000190 |
| Provider Name | Henry Anthony Neal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1902889025 PECOS PAC ID: 8628089042 Enrollment ID: I20121102000538 |
| Provider Name | Kyle H Oneal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922081355 PECOS PAC ID: 4082625405 Enrollment ID: I20121212000563 |
| Provider Name | Daniel D Scott |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1508063181 PECOS PAC ID: 5193961845 Enrollment ID: I20130424000972 |
| Provider Name | Bradford P Huffman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1659637213 PECOS PAC ID: 9830467257 Enrollment ID: I20170718001462 |
Belair Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 N Belair Rd, Evans, GA 30809 Phone: 706-650-2285 Fax: 706-869-0458 | |
Evans Signature Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Blue Ridge Dr, Evans, GA 30809 Phone: 706-650-9700 | |
Southern Smiles Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Town Park Blvd Ste 400, Evans, GA 30809 Phone: 706-288-1100 Fax: 706-288-1060 | |
Evans Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250-2 Washington Road, Evans, GA 30809 Phone: 706-860-3200 | |
Dental Professionals Of Georgia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 N Belair Rd, Evans, GA 30809 Phone: 706-650-2285 | |
Evans Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Washington Rd, Evans, GA 30809 Phone: 706-860-3200 | |
Augusta Orthodontic Center Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Blue Ridge Drive, Evans, GA 30809 Phone: 706-855-9903 Fax: 706-855-9861 |