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

Cornerstone Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1356983746

Cornerstone Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Valdosta, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

403 Cowart Ave
Valdosta, GA 31602-2635
Phone: (912) 408-7100
Fax: (912) 408-7101
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
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X

Record details

NPI number1356983746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Myers — Owner · (912) 432-0685
Other names Corenerstone Oral And Maxillofacial Surgery
NPI enumeratedOctober 17, 2019
Last updated in NPPESOctober 17, 2019
Mailing addressPo Box 372, Pooler, GA 31322-0372

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