Lake Oconee Oral And Maxillofacial Surgery, P.c.

Specialty details in registry · Greensboro, GA

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At a glance

1031 Founders Row, Greensboro, GA 30642

NPPES record updated Jun 29, 2012. Public records can lag behind changes at a practice.

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Practice location

1031 Founders Row
Greensboro, GA 30642

Professional details: NPI, taxonomy & registry record

NPI1154681195

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223S0112X
Enumeration date: May 24, 2012
Record updated: Jun 29, 2012

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223S0112X · Primary

License reported: DN012341 GA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1031 Founders Row
Greensboro, GA 30642

Phone: (706) 454-1500
Fax: (706) 454-1501

Mailing address

1031 FOUNDERS ROW

GREENSBORO, GA 30642

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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