Riverside Oral & Facial Surgery PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN010141 Issued in GA

Legal business name

RIVERSIDE ORAL & FACIAL SURGERY PC

Practice address

300 E 6TH Ave
Rome, GA 30161-6000

Phone

(706) 235-5570

Fax

(706) 235-5238

NPI assigned

Apr 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Keith Hunt, M.D., D.D.S.

Title

President

Phone

(706) 235-5570

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1033434600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 6TH AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616000",
            "telephone_number": "706-235-5570",
            "fax_number": "706-235-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 6TH AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616000",
            "telephone_number": "706-235-5570",
            "fax_number": "706-235-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ORAL & FACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-235-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN010141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dudley Riley, MD
• Marilyn Teresa Ringstaff
• Rise and Thrive Solutions LLC
• Rachel Marie Risner, DO
• Michelle Waters Ritchey, AU.D.
• Alicia M. Rix, DMD
• Robert J Madden MD PC
• Karen Jean Roberts, ACNP
• Lani Michelle Roberts
• Russell Lynn Roberts Jr., M.D.

• Oral and Maxillofacial Surgery (Dentist) in Rome, GA
• Providers in Rome, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.