Peachtree Oral & Maxillofacial Surgery Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

010603 Issued in GA

Legal business name

PEACHTREE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

Practice address

550 Pharr Rd NE
Suite 325
Atlanta, GA 30305-3428

Phone

(404) 233-8221

Fax

(404) 233-5783

NPI assigned

Mar 23, 2006

Last updated

Nov 15, 2016By 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

Dr. Gregory P. Marks, D.D.S.NPI 1932223740

Title

President

Phone

(404) 233-8221

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Gregory Paul Marks, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1932223740
  NPD (past) Authorized official
• Michael McHaney Demo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1083873640
  NPD (past)
• Mollie Ann Winston, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Roswell, GA
  • NPI 1962526707
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1063471324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PHARR RD NE",
            "address_2": "SUITE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053428",
            "telephone_number": "404-233-8221",
            "fax_number": "404-233-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PHARR RD NE",
            "address_2": "SUITE 325",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053428",
            "telephone_number": "404-233-8221",
            "fax_number": "404-233-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-233-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Atlanta, GA
• Providers in Atlanta, 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 Nov 15, 2016; 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.