Organization Active NPI

North Georgia Oral Surgery, P.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Woodstock, GA
National Provider Identifier
1023327822
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
054425 Issued in GA
Legal business name
NORTH GEORGIA ORAL SURGERY, P.C.
Practice address
6304 Old Highway 5
Suite 102
Woodstock, GA 30188-2443
Phone
(770) 591-9555
Fax
(770) 591-9595
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. David M NadlerNPI 1710991179
Title
Owner
Phone
(770) 591-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 054425 GA Primary

Addresses

Primary practice location

6304 Old Highway 5
Suite 102
Woodstock, GA 30188-2443

Mailing address

6304 Old Highway 5
Suite 102
Woodstock, GA 30188-2443
Phone (770) 591-9555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1023327822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 OLD HIGHWAY 5",
            "address_2": "SUITE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882443",
            "telephone_number": "770-591-9555",
            "fax_number": "770-591-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 OLD HIGHWAY 5",
            "address_2": "SUITE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882443",
            "telephone_number": "770-591-9555",
            "fax_number": "770-591-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-591-9555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "054425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.