Southeastern Oral and Maxillofacial Surgical Associates P.C.
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Savannah, GA
NPI 1801920301 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1801920301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C.
- Practice address
- 4815 Paulsen St
Savannah, GA 31405-4418 - Phone
- (912) 352-2324
- Fax
- (912) 354-0935
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Elaine Lieupo Carter
- Title
- Administrator
- Phone
- (912) 352-2324
Practitioners 5
-
Clifford Jens Berger, DDS
-
Jennifer E Hall, DMD
-
George B Massey, DMD
-
Dexter Witherington Mattox, DMD, MD
-
Matthew Reed Barefoot, D.D.S., M.D.
National Provider Directory
Locations
143 Canal St
Ste 300
Pooler, GA 31322
Phone (912) 330-8801
9390 Ford Ave
Ste 1
Richmond Hill, GA 31324
Phone (912) 756-7136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | GA | ||
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes | ||
| Oral & Maxillofacial Surgery (D.M.D.) |
204E00000X |
Addresses
Primary practice location
4815 Paulsen St
Savannah, GA 31405-4418
Mailing address
4815 Paulsen St
Savannah, GA 31405-4418
Phone (912) 352-2324
Other providers in Savannah, GA
- Southeast Spine Center, LLC
- Southeastern Audiology, Inc.
- Southeastern Medical Compounding LLC
- Southeastern Medical Equip
- Southeastern OB/GYN Center LLC
- Southeastern Pathology Associates Inc.
- Southeastern Reconstructive Services LLC
- Southeastern Rheumatology Alliance
- Southern Acupuncture Associates, LLC
- Southern Allergy and Asthma PC
All providers in Savannah, GA · Oral and Maxillofacial Surgery (Dentist) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.