| Smyrna Oral And Maxillofacial Surgery And Implantology Center, Llc | |
|
1155 Concord Rd Se Ste 100 Smyrna GA 30080-4255 | |
| (770) 435-9222 | |
| Not Available |
| Full Name | Smyrna Oral And Maxillofacial Surgery And Implantology Center, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1155 Concord Rd Se Ste 100, Smyrna, Georgia |
| Authorized Official Name and Position | Cecil Phillip Stancil (CEO) |
| Authorized Official Contact | 6152071932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smyrna Oral And Maxillofacial Surgery And Implantology Center, Llc 1155 Concord Rd Se Ste 100 Smyrna GA 30080-4255 Ph: (770) 435-9222 | Smyrna Oral And Maxillofacial Surgery And Implantology Center, Llc 1155 Concord Rd Se Ste 100 Smyrna GA 30080-4255 Ph: (770) 435-9222 |
| NPI Number | 1396064986 |
|---|---|
| Provider Enumeration Date | 05/23/2010 |
| Last Update Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396064986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN013667 (Georgia) | Primary |
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