NPI age
6 years
Enumerated 2019-07-01
● Active Type 2 · Organization
Middle Georgia Oral And Maxillofacial Surgery Llc
Middle Georgia Oral And Maxillofacial Surgery 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
Smalley
Oral Surgeon
Last NPPES update
2019-07-01
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
0
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
117 S Calhoun St
Dublin, GA 310215245
Mailing address
401 Crest Dr
Birmingham, AL 352095525
Authorized official
Glendon William Smalley, DMD
Oral Surgeon
📞 7063403408
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Glendon Smalley, DMD Oral & Maxillofacial Surgery NPI 1336466028
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 |
|---|---|---|
| 01 (GA) | DN014148 | STATE LICENSE |
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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