Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bulloch Oral and Maxillofacial Surgery and Dental Implant Center

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1013235290

Bulloch Oral and Maxillofacial Surgery and Dental Implant Center is an Oral and Maxillofacial Surgery (Dentist) in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010

Practice location Address checks out

301 Florence Ave
Statesboro, GA 30458-5138
Phone: (912) 764-7500
Fax: (912) 764-7503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN013413 (GA)

Record details

NPI number1013235290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Myers — Owner · (912) 764-7500
NPI enumeratedMay 12, 2010
Last updated in NPPESMay 12, 2010
Mailing address301 Florence Ave, Statesboro, GA 30458-5138

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