NPI age
6 years
Enumerated 2019-10-17
● Active Type 2 · Organization
Cornerstone Oral And Maxillofacial Surgery
Cornerstone Oral And Maxillofacial Surgery is 1 of 358 dentist organizations in Georgia.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Myers
Owner
Last NPPES update
2019-10-17
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 25% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-10Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
403 Cowart Ave
Valdosta, GA 316022635
Mailing address
Po Box 372
Pooler, GA 313220372
Authorized official
Roger Myers, DMD
Owner
📞 9124320685
Individual providers at this organization
1 individual provider on file at this primary practice address.
- David Retterbush, M.D. Surgery NPI 1396910337
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.
-
Clinic/CenterThe 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Corenerstone Oral And Maxillofacial surgery
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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