| Riverside Oral & Facial Surgery Pc | |
|
300 E 6th Ave Rome GA 30161-6000 | |
| (706) 235-5570 | |
| (706) 235-5238 |
| Full Name | Riverside Oral & Facial Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 300 E 6th Ave, Rome, Georgia |
| Authorized Official Name and Position | Robert Keith Hunt (PRESIDENT) |
| Authorized Official Contact | 7062355570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Oral & Facial Surgery Pc 300 E 6th Ave Rome GA 30161-6000 Ph: (706) 235-5570 | Riverside Oral & Facial Surgery Pc 300 E 6th Ave Rome GA 30161-6000 Ph: (706) 235-5570 |
| NPI Number | 1033434600 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 04/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033434600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN010141 (Georgia) | Primary |
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