P Praxis·MD
● Active Type 2 · Organization

Vidalia Oral And Maxillofacial Surgery, P.c.

Clinic/Center·Vidalia, GA· NPI 1063682680 · Enumerated 2008 · 18 years on NPI
Vidalia Oral And Maxillofacial Surgery, P.c. is 1 of 11 clinic/center organizations in Georgia.
NPI age
18 years
Enumerated 2008-03-11
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mosley
President
Last NPPES update
2008-03-11
Source: monthly bulk 2026-05

How this organization compares

Across 11 active clinic/center providers in Georgia.

NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
310 Maple Dr
Vidalia, GA 304748909
📞 9125374119fax 9125379117
Mailing address
310 Maple Dr
Vidalia, GA 304748909
📞 9125374119fax 9125379117

Authorized official

Ronald O Mosley, D.M.D.
President
📞 9125374119

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    The 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.
    GA license #01415 taxonomy 261QS0112X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 11 Clinic/Center providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related