Active NPI
Center for Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7520
- Legal business name
- CENTER FOR ORAL & MAXILLOFACIAL SURGERY
- Practice address
- 7011 Evans Town Center Blvd
Evans, GA 30809-4315 - Phone
- (706) 724-8735
- Fax
- (706) 722-7037
- NPI assigned
- May 18, 2006
- Last updated
- Jun 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Browne
- Title
- Billing Department
- Phone
- (706) 724-8735
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7520 | GA | Primary |
Addresses
Primary practice location
7011 Evans Town Center Blvd
Evans, GA 30809-4315
Mailing address
7011 Evans Town Center Blvd
Evans, GA 30809-4315
Phone (706) 724-8735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
7011 Evans Town Center Blvd
Evans, GA 30809
Phone (706) 724-8735
7011 Evans Town Center Blvd
#3895
Evans, GA 30809
750 Gateway Center Blvd
Grovetown, GA 30813
Phone (762) 222-4180
1907 Pawnee St
Aiken, SC 29803
Phone (803) 649-3932
101 Nut Grove Dr
North Augusta, SC 29841
Phone (803) 278-2050
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Grovetown, GA
- NPI 1376135848
SC
-
- Oral and Maxillofacial Surgery (Dentist)
- Jacksonville, FL
- NPI 1962802769
GA, SC
-
- Oral and Maxillofacial Surgery (Dentist)
- Evans, GA
- NPI 1902889025
-
- Oral and Maxillofacial Surgery (Dentist)
- Evans, GA
- NPI 1396728721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750291200000",
"number": "1538112016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7011 EVANS TOWN CENTER BLVD",
"city": "EVANS",
"state": "GA",
"postal_code": "308094315",
"telephone_number": "706-724-8735",
"fax_number": "706-722-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 EVANS TOWN CENTER BLVD",
"city": "EVANS",
"state": "GA",
"postal_code": "308094315",
"telephone_number": "706-724-8735",
"fax_number": "706-722-7037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR ORAL & MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A",
"authorized_official_last_name": "BROWNE",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "BILLING DEPARTMENT",
"authorized_official_telephone_number": "706-724-8735"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "GA",
"license": "7520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.