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 1336476530

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 2009.

Licensed in
GA
In the registry since
2009

Practice location Address checks out

301 Florence Ave
Statesboro, GA 30458-5138
Phone: (912) 408-7100
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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 number1336476530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Myers — Owner · (912) 408-7100
NPI enumeratedNovember 9, 2009
Last updated in NPPESNovember 9, 2009
Mailing address301 Florence Avenue, Statesboro, GA 30458

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