NPI age
19 years
Enumerated 2007-04-18
● Active Type 2 · Organization
Central Georgia Oral And Maxillofacial Surgery, Llc
Central Georgia Oral And Maxillofacial Surgery, Llc 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
Marlow
President
Last NPPES update
2008-10-01
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
740 First St.
MacOn, GA 312016840
Mailing address
740 First St.
MacOn, GA 312016840
Authorized official
Clyde D Marlow, DDS
President
📞 4787450200
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 |
|---|---|---|
| 01 (GA) | 6880 | LICENSE |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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