NPI age
8 years
Enumerated 2017-12-08
● Active Type 2 · Organization
Subpart
Oral & Facial Surgery Of East Alabama, Llc
Oral & Facial Surgery Of East Alabama, 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
Fuqua
Managing Member
Last NPPES update
2017-12-08
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-12Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
4405 N Stadium Drive, Suite A
Columbus, GA 31909
Mailing address
747 N Dean Road
Auburn, AL 36830
Authorized official
Thomas H Fuqua, DMD, MD
Managing Member
📞 3347493436
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) | 003194410A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Oral & Facial Surgery of West Georgia
Practice context
Single-site organization. Only one practice location on file.
Subpart of Oral & Facial Surgery Of East Alabama, Llc.
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