OrganizationActive
Vidalia Oral and Maxillofacial Surgery, P.C.
NPI 1063682680 · Oral and Maxillofacial Surgery Clinic/Center · Vidalia, GA
Provider details
- NPI number
- 1063682680
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Mosley, President(912) 537-4119
- License
- 01415 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
310 Maple Dr
Vidalia, GA 30474-8909
Phone: (912) 537-4119
Fax: (912) 537-9117
Approximate (ZIP-level) locationGet directions
Mailing address
310 Maple Dr
Vidalia, GA 30474-8909
Registry dates
- Enumerated
- 2008-03-11
- Last updated
- 2008-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.