| Oral & Facial Surgery Of West Georgia | |
|
4405 N Stadium Drive Suite A Columbus GA 31909 | |
| (334) 749-3436 | |
| (334) 749-3233 |
| Full Name | Oral & Facial Surgery Of West Georgia |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4405 N Stadium Drive, Columbus, Georgia |
| Authorized Official Name and Position | Thomas H Fuqua (MANAGING MEMBER) |
| Authorized Official Contact | 3347493436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgery Of West Georgia 747 N Dean Road Auburn AL 36830 Ph: (334) 749-3436 | Oral & Facial Surgery Of West Georgia 4405 N Stadium Drive Suite A Columbus GA 31909 Ph: (334) 749-3436 |
| NPI Number | 1225543515 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 12/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225543515 | NPI | - | NPPES |
| 003194410A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | MD28533 (Alabama) | Primary |
Columbus Oral & Maxillofacial Surgery Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 N Stadium Dr, Suite A, Columbus, GA 31909 Phone: 706-507-0901 Fax: 706-507-0984 | |
Muscogee Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3619 Calvin Dr, Columbus, GA 31904 Phone: 706-940-0528 Fax: 706-940-0571 | |
Adams Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Princeton Ave, Suite B, Columbus, GA 31904 Phone: 706-323-8811 Fax: 706-323-8824 | |
Georgia Dental Alliance Of Columbus Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6410 W Hamilton Park Dr, Columbus, GA 31909 Phone: 706-653-8700 | |
Columbus Children's Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 N Stadium Dr, Suite B, Columbus, GA 31909 Phone: 706-225-0444 Fax: 706-940-0008 | |
Vbdc Of Columbus Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5448 Whittlesey Blvd Ste B, Columbus, GA 31909 Phone: 478-733-0857 Fax: 478-254-5709 | |
Select Dental Ga Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1834 Warm Springs Rd, Columbus, GA 31904 Phone: 706-324-1834 |