OrganizationActive
Bulloch Oral and Maxillofacial Surgery and Dental Implant Center
NPI 1013235290 · Oral and Maxillofacial Surgery (Dentist) · Statesboro, GA
Provider details
- NPI number
- 1013235290
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Roger Myers, Owner(912) 764-7500
- License
- DN013413 (GA)
Specialties & taxonomies
Dental Providers
Practice location
301 Florence Ave
Statesboro, GA 30458-5138
Phone: (912) 764-7500
Fax: (912) 764-7503
Approximate (ZIP-level) locationGet directions
Mailing address
301 Florence Ave
Statesboro, GA 30458-5138
Registry dates
- Enumerated
- 2010-05-12
- Last updated
- 2010-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.