Oral Surgery Associates & Dental Implant Center PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY ASSOCIATES & DENTAL IMPLANT CENTER PC

Practice address

1463 Klondike Rd
Ste C
Conyers, GA 30094

Phone

(770) 483-9692

Fax

(678) 487-1004

NPI assigned

Aug 25, 2006

Last updated

Jan 4, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Susan Hoy

Title

Chief Operating Officer

Phone

(770) 483-9692

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon L Brady, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Conyers, GA
  • NPI 1619085396
  Medicare reassignment Care Compare group NPD
• Ravi Chandran, DMD PHD FACS

  • Oral and Maxillofacial Surgery (Dentist)
  • Snellville, GA
  • NPI 1043496235
  Medicare reassignment Care Compare group NPD
• Katelyn Hornbuckle Conley, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Roswell, GA
  • NPI 1407470511
  Medicare reassignment Care Compare group NPD
• Brett C Gray, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Conyers, GA
  • NPI 1619085362
  Medicare reassignment Care Compare group NPD
• Steven P King, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Conyers, GA
  • NPI 1669580312
  Medicare reassignment Care Compare group NPD
• James P McAndrews, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Decatur, GA
  • NPI 1477626182
  Medicare reassignment Care Compare group NPD
• Larry Paul Parworth, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Monroe, GA
  • NPI 1023005923
  Medicare reassignment Care Compare group NPD
• Steven D Pollack, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Conyers, GA
  • NPI 1366550063
  Medicare reassignment Care Compare group NPD
• Fulton D Lewis III, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Conyers, GA
  • NPI 1558479253
  Medicare reassignment Care Compare group
• Robert E Going Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Conyers, GA
  • NPI 1376651034
  Medicare reassignment NPD
• Scott Eric Tate, DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • South Bend, IN
  • NPI 1528166097

  GA

  Medicare reassignment NPD
• Richard S Singer, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Conyers, GA
  • NPI 1750499414
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1003924788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 KLONDIKE RD",
            "address_2": "STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-483-9692",
            "fax_number": "678-487-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 KLONDIKE RD",
            "address_2": "STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-483-9692",
            "fax_number": "678-487-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES & DENTAL IMPLANT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "HOY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "770-483-9692",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oneopto Ga 2 PLLC (The Eye Center)
• Miriam Moses Onyegbula, MD
• Open MRI of Georgia, Inc (Open MRI & Imaging of Conyers)
• Opieka Staffing LLC
• Quinten Peprah Oppong, LMFT
• Organnizer
• Orion Dialysis LLC (Cowan Lake Dialysis)
• Ortho Sport and Spine Physicians Conyers
• Orthoatlanta, LLC
• Orthodontic Associates PC

• Oral and Maxillofacial Surgery (Dentist) in Conyers, GA
• Providers in Conyers, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.