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

Southern Oral Surgery & Implant Specialists PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1073496253

Southern Oral Surgery & Implant Specialists PC is an Oral and Maxillofacial Surgery (Dentist) in Augusta, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3634 Wheeler Rd
Augusta, GA 30909-6518
Phone: (706) 860-8228
Fax: (706) 860-7222
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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

Record details

NPI number1073496253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claire Shivers — Practice Administrator · (706) 860-8228
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 27, 2025
Mailing address3634 Wheeler Rd, Augusta, GA 30909-6518

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