| Southern Oral Surgery Pc | |
|
614 S 8th St Griffin GA 30224-4214 | |
| (770) 228-1010 | |
| (678) 692-0242 |
| Full Name | Southern Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 614 S 8th St, Griffin, Georgia |
| Authorized Official Name and Position | Eric D Ferrara (OWNER) |
| Authorized Official Contact | 7702281010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oral Surgery Pc 614 S 8th St Griffin GA 30224-4214 Ph: (770) 228-1010 | Southern Oral Surgery Pc 614 S 8th St Griffin GA 30224-4214 Ph: (770) 228-1010 |
| NPI Number | 1881629392 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 10/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881629392 | NPI | - | NPPES |
| 003109984A | Medicaid | GA | |
| 178058507B | Medicaid | GA | |
| 178058507A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN013416 (Georgia) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN012761 (Georgia) | Secondary |
Allred Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 743 S 8th St, Griffin, GA 30224 Phone: 770-228-6101 | |
Addevale Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Addavale St, Griffin, GA 30224 Phone: 770-229-1490 | |
Bennie C. Evans,d.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Addavale St, Griffin, GA 30224 Phone: 770-229-1490 Fax: 770-229-4929 | |
Mdg - Griffin Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Crescent W Ste B, Griffin, GA 30224 Phone: 770-412-8636 Fax: 770-412-7019 | |
Joshua Gropper Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 S 8th St, Griffin, GA 30224 Phone: 770-229-2811 | |
Crosspoint Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Crescent W, Suite A, Griffin, GA 30224 Phone: 770-227-3937 Fax: 770-227-9268 | |
Griffin Dental Specialties Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 S 11th St, Griffin, GA 30224 Phone: 770-412-6575 Fax: 770-412-9089 |