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Contact Information

COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
4405 N STADIUM DR
SUITE A
COLUMBUS, GA31909-1878
 Phone: 706-507-0901
 Fax: 706-507-0984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC

NPI Number 1003023870
LBN Legal business name COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
Authorized official JOHN SCUBA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2007
Last updated 06/23/2008 - About 18 years ago
Identifiers
GA License # 052372
GA License # DN013256
GA Other IP09476001 BCBS OF GA (M) GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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