COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC


Address: 4405 N Stadium Dr, Suite A, Columbus, GA 31909-1878
Phone: 7065070901

COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC (NPI# 1003023870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003023870
Entity Type Organization
Organization Name COLUMBUS ORAL & MAXILLOFACIAL SURGERY PC
Practice Address 4405 N Stadium Dr
Suite A
Columbus
GA 31909-1878
Mailing Address 4405 N Stadium Dr
Suite A
Columbus
GA 31909-1875
Practice Telephone 7065070901
Practice Fax Number 7065070984
Mailing Telephone 7065070901
Mailing Fax Number 7065070984
Enumeration Date 2007-05-17
Last Update Date 2008-06-23
Authorized Official Name DR. JOHN R SCUBA (OWNER)
Authorized Official Telephone 7065070901
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DN013256 GA Dental Providers
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
052372 GA Allopathic & Osteopathic Physicians
Y 204E00000X Oral & Maxillofacial Surgery 052372 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA BCBS OF GA (M) GROUP IP09476001 01

Office Location

Street Address 4405 N STADIUM DR
SUITE A
City COLUMBUS
State GA
Zip Code 31909-1878

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063828499 Columbus Children's Dentistry, PC Dentist 4405 N Stadium Dr, Suite B, Columbus, GA 31909-1878 2014-07-07
1043413032 Jeffrey M Serff Dentist 4405 N Stadium Dr, Suite B, Columbus, GA 31909-1875 2007-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235747403 Abundant Heart Healthcare Solution, LLC Adult Companion 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 2020-07-14
1477185791 Shandis Denise Phaneuf Licensed Practical Nurse 6545 Gregg Dr, Columbus, GA 31909 2020-02-05
1164086203 Brock Musick Physical Therapist 100 First Court, Columbus, GA 31909 2019-04-24
1407340037 Courtney Patterson Behavior Technician 5900 Warm Springs Road, Suite J, Columbus, GA 31909 2018-06-18
1225543515 Oral & Facial Surgery of East Alabama, LLC Dentist 4405 N Stadium Drive, Suite A, Columbus, GA 31909 2017-12-08
1528577368 Courtney Anne Young Nurse Practitioner 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 2017-09-25
1427573542 Megan Renee Kwon Dietitian, Registered 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 2017-08-09
1942659305 Stephanie Mcghee Dental Hygienist 4835 Turnberry Lane, Columbus, GA 31909 2016-06-07
1770932162 Tammy Allen Dental Assistant 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 2016-06-07
1003265406 Rhonda Mills Dental Assistant 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 2016-06-07
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral 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 to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831543701 East Columbus Oral Surgery Specialists Inc. Oral & Maxillofacial Surgery 6555 E Broad St., Columbus, OH 43213 2016-04-18
1265855795 Premier Interventional Pain of Ohio LLC Oral & Maxillofacial Surgery 793 W State St, Columbus, OH 43222-1551 2014-02-04
1699196022 Premier Anesthesia of Ohio LLC Oral & Maxillofacial Surgery 793 W State St, Columbus, OH 43222-1551 2014-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124453337 Ladi Doonquah Oral & Maxillofacial Surgery 3660 Flat Shoals Rd Ste 100, Decatur, GA 30034-1649 2013-09-06
1699040121 Shenan Marie Bradshaw Oral & Maxillofacial Surgery 5505 Peachtree Dunwoody Rd Ste 660, Sandy Springs, GA 30342 2012-03-16
1720107105 Christian Loetscher Oral & Maxillofacial Surgery 4205 N Point Pkwy Ste F, Alpharetta, GA 30022-8808 2007-03-28
1659460772 William Jones Phillips Oral & Maxillofacial Surgery 698 Medical Park Lane, Gainesville, GA 30501 2006-10-12
1841306909 Lawrence Matthew Marra Oral & Maxillofacial Surgery 3965 Holcomb Bridge Road, Suite 102, Norcross, GA 30092 2006-08-22
1861505141 Durwood M Johnson Jr. Oral & Maxillofacial Surgery 1260 Hwy 54 W, Suite 200, Fayetteville, GA 30214 2006-08-17
1184667370 Scott S Derossi Oral & Maxillofacial Surgery 1430 John Wesley Gilbert Drive, Gc-1024, Ghsu College of Dental Medicine, Augusta, GA 30912-1001 2006-06-14
1942258397 Henry W Ferguson Oral & Maxillofacial Surgery 1430 John Wesely Gilbert Drive, Gc-1024, Augusta, GA 30912-1001 2006-05-05
1295791549 Glenn Maron Oral & Maxillofacial Surgery 999 Peachtree St Ne, Ste 715, Atlanta, GA 30309 2006-04-25
1952363442 Advanced Oral and Maxillofacial Surgery PC Oral & Maxillofacial Surgery 3535 Roswell Rd, Suite 27, Marietta, GA 30062-8826 2006-04-03
Find all providers with the same taxonomy

Competitor

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City COLUMBUS
Zip Code 31909

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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