Vidalia Oral and Maxillofacial Surgery, PC
Vidalia Oral and Maxillofacial Surgery, PC is an Oral and Maxillofacial Surgery Clinic/Center in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2008.
- Licensed in
- GA
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
310 Maple DrVidalia, GA 30474-8909
Phone: (912) 537-4119
Fax: (912) 537-9117
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence 01415 (GA) |
|---|
Record details
| NPI number | 1063682680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Mosley — President · (912) 537-4119 |
| NPI enumerated | March 11, 2008 |
| Last updated in NPPES | March 11, 2008 |
| Mailing address | 310 Maple Dr, Vidalia, GA 30474-8909 |