VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C.
NPI 1063682680
Clinic/Center - Oral and Maxillofacial Surgery in Vidalia, GA
NPI Status: Active since March 11, 2008
Contact Information
310 MAPLE DR
VIDALIA, GA
ZIP 30474
Phone: (912) 537-4119
Fax: (912) 537-9117
- Organization
- Clinic/Center
- Oral and Maxillofacial Surgery
About VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C.
This page provides the complete NPI Profile along with additional information for Vidalia Oral And Maxillofacial Surgery, P.c., a provider established in Vidalia, Georgia operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1063682680 assigned on March 2008. The practitioner's primary taxonomy code is 261QS0112X with license number 01415 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Ronald O Mosley D.m.d. (President)
- NPI
- 1063682680
- Provider Name
- VIDALIA ORAL AND MAXILLOFACIAL SURGERY, P.C.
- Entity Type
- Organization
- Location Address
- 310 MAPLE DR VIDALIA, GA 30474
- Location Phone
- (912) 537-4119
- Location Fax
- (912) 537-9117
- Mailing Address
- 310 MAPLE DR VIDALIA, GA 30474
- Mailing Phone
- (912) 537-4119
- Mailing Fax
- (912) 537-9117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-11-2008
- Last Update Date
- 03-11-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Oral and Maxillofacial Surgery
- Taxonomy Code
- 261QS0112X
- Type
- Ambulatory Health Care Facilities
- License No.
- 01415
- License State
- GA
- Taxonomy Description
- An oral and maxillofacial surgery clinic or center specialized in 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| U22619 | MEDICARE UPIN (02) | GA | |
| 19NCBDQ | MEDICARE PIN (08) | GA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 6 | 8 | 2 | 6 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 12 | 8 | 4 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 2 + 8 + 4 + 6 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1063682680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154314664 | DR. RONALD O MOSLEY DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 310 MAPLE DR VIDALIA, GA 30474 (912) 537-4119 |
| 1275198590 | ANGLIA DAILEY FNP-C Individual | Nurse Practitioner | 310 MAPLE DR VIDALIA, GA 30474 (912) 805-2640 |
| 1811703655 | DAILEY PEDIATRICS AND FAMILY MEDICINE, P.C. Organization | Clinic/Center (Primary Care) | 310 MAPLE DR VIDALIA, GA 30474 (912) 403-1324 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063682680, enumerated in the NPI registry as an "organization" on March 11, 2008
The provider is located at 310 Maple Dr Vidalia, Ga 30474 and the phone number is (912) 537-4119
This medical organization specializes in Clinic/Center with taxonomy code 261QS0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 11, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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