Savannah Oral and Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SAVANNAH ORAL AND FACIAL SURGERY

Practice address

5010 Paulsen St
Savannah, GA 31405-4513

Phone

(843) 762-9028

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lynda Tyler

Title

Controller

Phone

(843) 974-5236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1306521752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 INGLESIDE BLVD BLDG 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564141",
            "telephone_number": "843-974-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054513",
            "telephone_number": "843-762-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "843-974-5236",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.