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

Central Georgia Oral and Maxillofacial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1023234853

Central Georgia Oral and Maxillofacial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

740 First St
Macon, GA 31201-6840
Phone: (478) 745-0200
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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 6880 (GA)

Record details

NPI number1023234853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clyde Marlow — President · (478) 745-0200
NPI enumeratedApril 18, 2007
Last updated in NPPESOctober 1, 2008
Mailing address740 First St., Macon, GA 31201-6840

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