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

Statesboro Oral and Maxillofacial Surgery, Inc

Organization Dentist · NPI 1497216980

Statesboro Oral and Maxillofacial Surgery, Inc is a Dentist in Statesboro, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4463 Country Club Rd
Statesboro, GA 30458-9188
Phone: (912) 764-4495
Fax: (912) 764-3650
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
Dentist Taxonomy 122300000X

Record details

NPI number1497216980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Lawhorn — President · (912) 764-4495
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019
Mailing address4463 Country Club Rd, Statesboro, GA 30458-9188

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