Southern Oral Surgery Pc is a Oral and Maxillofacial Dental Clinic in Griffin, Georgia. It is located at 614 S 8th St, Griffin, GA and its contact number is 770-228-1010. The authorized person for Southern Oral Surgery Pc is Dr. Eric D Ferrara
who is Owner of the clinic and their contact number is 770-228-1010. The primary license number for Southern Oral Surgery Pc is DN013416 (Oral and Maxillofacial Surgery) in Georgia. Southern Oral Surgery Pc Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Southern Oral Surgery Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southern Oral Surgery Pc
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
614 S 8th St, Griffin, Georgia, 30224-4214
Phone:
770-228-1010
Fax:
678-692-0242
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Eric D Ferrara
Position:
Owner
Contact Number:
770-228-1010
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Oral Surgery Pc clinic are as mentioned below.
NPI Number:
1881629392
NPI Enumeration Date:
12 Jul, 2006
NPI Last Update On:
12 Oct, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Oral Surgery Pc are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
DN013416
Georgia
Primary
Oral and Maxillofacial Surgery
DN012761
Georgia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
003109984A
Medicaid
Georgia
178058507B
Medicaid
Georgia
178058507A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southern Oral Surgery Pc 614 S 8th St, Griffin, Georgia
Zip:
30224-4214
Phone Number:
770-228-1010
Fax Number:
678-692-0242
Patients can reach Southern Oral Surgery Pc at 614 S 8th St, Griffin, Georgia or can call to book an appointment on 770-228-1010. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.