NPIMap

Organization Active NPI

Macon Oral and Maxillofacial Surgery,P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Macon, GA
National Provider Identifier
1841469210
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
011926 Issued in GA
Legal business name
MACON ORAL AND MAXILLOFACIAL SURGERY,P.C.
Practice address
112 Arkwright LNDG
Macon, GA 31210-1364
Phone
(478) 471-9779
Fax
(478) 471-9754
NPI assigned
Feb 29, 2008
Last updated
Feb 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dona Gurley
Title
Office Manager
Phone
(478) 471-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 011926 GA Primary

Addresses

Primary practice location

112 Arkwright LNDG
Macon, GA 31210-1364

Mailing address

112 Arkwright LNDG
Macon, GA 31210-1364
Phone (478) 471-9779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1841469210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ARKWRIGHT LNDG",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101364",
            "telephone_number": "478-471-9779",
            "fax_number": "478-471-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ARKWRIGHT LNDG",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101364",
            "telephone_number": "478-471-9779",
            "fax_number": "478-471-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON ORAL AND MAXILLOFACIAL SURGERY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "DONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-471-9779"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "011926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.