NPI age
16 years
Enumerated 2010-05-12
● Active Type 2 · Organization
Bulloch Oral And Maxillofacial Surgery And Dental Implant Center
Bulloch Oral And Maxillofacial Surgery And Dental Implant Center is 1 of 358 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Myers
Owner
Last NPPES update
2010-05-12
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-05Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
301 Florence Ave
Statesboro, GA 304585138
Mailing address
301 Florence Ave
Statesboro, GA 304585138
Authorized official
Roger Lee Myers, DMD
Owner
📞 9127647500
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Richard Emert, D.D.S. Dentist NPI 1982626883
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 379753056C |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.