NPI 1003023870
Columbus Oral & Maxillofacial Surgery PC
Practice location
- Address
- 4405 N Stadium Dr Suite a, Columbus, GA 31909-1878
- Phone
- (706) 507-0901
- Fax
- (706) 507-0984
- Mailing address
- 4405 N Stadium Dr Suite a, Columbus, GA 31909-1875
Authorised official
- Name
- John R Scuba
- Title
- Owner
- Phone
- (706) 507-0901
Registered specialties (3)
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Oral and Maxillofacial Surgery (Dentist)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Registry record
- NPI
- 1003023870
- Entity type
- Organization
- NPI issued
- 17 May 2007
- Record last updated
- 23 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.