NPIMap

Organization Active NPI

West Ga Oral Surgery Associates, P.C.

  • Oral and Maxillofacial Pathology Dentistry
  • Lagrange, GA
National Provider Identifier
1942403795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
8424 Issued in GA
Legal business name
WEST GA ORAL SURGERY ASSOCIATES, P.C.
Practice address
1587 Vernon Rd
Lagrange, GA 30240-4146
Phone
(706) 884-2655
NPI assigned
Jun 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William P HinesNPI 1811000268
Title
Owner
Phone
(706) 884-2655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 8424 GA Primary

Addresses

Primary practice location

1587 Vernon Rd
Lagrange, GA 30240-4146

Mailing address

1587 Vernon Rd
Lagrange, GA 30240-4146
Phone (706) 884-2655

National Provider Directory

National Provider Directory

Locations

2422 Double Churches Rd
Columbus, GA 31909
Phone (706) 596-1757

3916 Rosemont Dr
Columbus, GA 31904
Phone (706) 596-1757

1587 Vernon Rd
Lagrange, GA 30240
Phone (404) 884-2655

Practitioners & affiliated clinicians

Practitioners 6

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942403795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404146",
            "telephone_number": "706-884-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404146",
            "telephone_number": "706-884-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GA ORAL SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-884-2655"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "GA",
            "license": "8424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.