NPI age
19 years
Enumerated 2006-07-24
● Active
Type 1 · Individual
DR. Mark R Stevens, DDS
Stevens is 1 of 6 oral & maxillofacial surgery providers in Augusta and 1 of 48 in Georgia.
Primary specialty
Oral & Maxillofacial Surgery
Plus 3 subspecialties
Licensed in
GA, FL, CA
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 48 active oral & maxillofacial surgery providers in Georgia.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
3 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
58% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
1430 John Wesley Gilbert Drive
Augusta, GA 309120004
Mailing address
1430 John Wesley Gilbert Drive Gc-1012
Augusta, GA 309120001
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1120 15th St
Augusta, GA 309120004
Specialties
-
Oral & Maxillofacial Surgery PrimaryOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 589724798B | |
| 05 (GA) | 589724798I | |
| 05 (SC) | ZG3387 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.
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