Dr ALFRED E PESTO JR. is a male medical professional, specializing in Oral Surgery. He graduated in 1990 from Medical College Of Georgia School Of Dentistry.
SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C.
143 CANAL ST
SUITE 300
POOLER
GA
313226008
Tel: 9123308801
| Npi | 1295875755 |
| Pac Id | 9133314370 |
| Professional Enrollment Id | I20101112000643 |
| Last Name | PESTO |
| First Name | ALFRED |
| Middle Name | E |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA SCHOOL OF DENTISTRY |
| Graduation Year | 1990 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialty 1 | MAXILLOFACIAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | MAXILLOFACIAL SURGERY |
| Organization Legal Name | SOUTHEASTERN ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES P.C. |
| Group Practice Pac Id | 5092774729 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 143 CANAL ST |
| Line 2 Street Address | SUITE 300 |
| Marker Of Address Line 2 Suppression | |
| City | POOLER |
| State | GA |
| Zip Code | 313226008 |
| Phone Number | 9123308801 |
| Hospital Affiliation Ccn 1 | 110036 |
| Hospital Affiliation Lbn 1 | MEMORIAL UNIVERSITY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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