Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407878606 Individual Practitioner Male Practitioner

Dr. Mark R Stevens , DDS

Oral & Maxillofacial Surgery • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Stevens, DDS is a registered healthcare professional specializing in Oral & Maxillofacial Surgery in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120004

Telephone 7067219744
Fax 7067216778
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Augusta, GA (37 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-22
Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License GA DN013387

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.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License FL DN7757

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.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License GA DNGA000215

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.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License CA DDS25997

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
589724798B (GA)
Medicaid State Provider ID
589724798I (GA)
Medicaid State Provider ID
ZG3387 (SC)

Secondary Practice Locations

1120 15th St

Augusta, GA 309120004

Phone: 7067213241

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Geoffrey Thompson , DDS, MS

Dentist - Prosthodontics

NPI 1003807603

Doctor of Dental Surgery, Master of Science

Dr. Steven Nelson , DMD

Dentist - Prosthodontics

NPI 1003861352

Doctor of Dental Medicine

Dr. John Hawkins , CRNA, PhD

Nurse Anesthetist, Certified Registered

NPI 1003880196

Certified Registered Nurse Anesthetist, Doctor of Philosophy (Ph.D.)

Dr. Theodore Ravenel , DMD

Dentist - Endodontics

NPI 1013070879

Doctor of Dental Medicine

Dr. Edna Pashley , DMD

Dentist - Pediatric Dentistry

NPI 1033165584

Doctor of Dental Medicine

Dr. Ryan Mooneyham , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1033705066

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 22, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120004 (Tel: 7067219744)

📍
Updated Business Mailing Address March 22, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 309120001 (Tel: 7067217913)

NPI Profile Active June 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2014

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067213241)

📍
Updated Business Mailing Address June 16, 2014

Registered at 1499 WALTON WAY STE 1400, AUGUSTA, GA 309012603 (Tel: 7068286410)

👤
Provider Name / Credentials Updated June 16, 2014

Recorded as MARK STEVENS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2014

Oral & Maxillofacial Surgery (License #DN013387 in GA)

🟢
Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407878606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: March 22, 2021
Sole Proprietor: No

Mailing Address

1430 John Wesley Gilbert Drive Gc-1012

Augusta, GA 309120001

Phone: 7067217913

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.