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Cornerstone Oral and Maxillofacial Surgery — NPI 1356983746, Valdosta, GA | NPI Central

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NPI 1356983746

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Cornerstone Oral and Maxillofacial Surgery

NPI 1356983746 · Oral and Maxillofacial Surgery (Dentist) · Valdosta, GA

Provider details

NPI number: 1356983746
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Organization subpart: No
Authorized official: Roger Myers, Owner(912) 432-0685

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers
Oral and Maxillofacial Surgery Clinic/Center261QS0112X
Ambulatory Health Care Facilities

Practice location

403 Cowart Ave

Valdosta, GA 31602-2635

Phone: (912) 408-7100

Fax: (912) 408-7101

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

Po Box 372

Pooler, GA 31322-0372

Other names (DBA / former)

Other name: Corenerstone Oral and Maxillofacial Surgery

Registry dates

Enumerated: 2019-10-17
Last updated: 2019-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.