NPI age
16 years
Enumerated 2010-02-15
● Active Type 2 · Organization
East Georgia Oral & Maxillofacial Surgery Center
East Georgia Oral & Maxillofacial Surgery Center is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Uribe
Owner
Last NPPES update
2010-02-15
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
16 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
613 E Grady St
Statesboro, GA 304585104
Mailing address
613 E Grady St
Statesboro, GA 304585104
Authorized official
Rodrigo Lorenzo Uribe, D.M.D.
Owner
📞 9127645435
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Anjali Patel, DMD Dentist NPI 1144543372
- Rodrigo Uribe, D.M.D. Dentist NPI 1811911977
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 478841397B | |
| 05 (GA) | 000514489A |
Practice context
Multi-provider organization. 2 individual providers 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.