OrganizationActive
East Georgia Center for Oral & Facial Surgery LLC
NPI 1215270970 · Oral and Maxillofacial Surgery (Dentist) · Statesboro, GA
Provider details
- NPI number
- 1215270970
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Suketu Patel, Owner(912) 764-5435
- License
- DN014505 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1222 Brampton Ave
Statesboro, GA 30458-0849
Phone: (912) 764-5435
Fax: (912) 764-9789
Street-level locationGet directions
Mailing address
1222 Brampton Ave
Statesboro, GA 30458-0849
Additional practice locations (1)
- 6 Medical Office WaySwainsboro, GA 30401-3263Phone: (478) 419-2100Fax: (478) 419-2300
Registry dates
- Enumerated
- 2013-04-01
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.