Smyrna Oral and Maxillofacial Surgery and Implantology Center, LLC

NPI #1396064986 in Smyrna, Georgia

Provider Information

NPI Number: 1396064986
Entity Type: Organization
Organization Name: Smyrna Oral and Maxillofacial Surgery and Implantology Center, LLC
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: May 23, 2010
Last Updated: May 23, 2010

Practice Location

Address: 4849 S COBB DR SE
Address 2: UNIT 200
City: Smyrna
State: Georgia
ZIP Code: 30080-7145
Phone: (615) 207-1932

Authorized Official

Name: DR. CECIL PHILLIP STANCIL JR., D.D.S.
Title: CEO
Phone: (615) 207-1932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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