Georgia Surgical Arts Dental Implants & Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GEORGIA SURGICAL ARTS DENTAL IMPLANTS & ORAL SURGERY LLC

Doing business as

Imperial Dental Implants & Oral Surgery

Practice address

1801 Peachtree St NE Ste 250
Atlanta, GA 30309-1881

Phone

(470) 645-9500

Fax

(470) 747-8674

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

GEORGIA SURGICAL ARTS DENTAL IMPLANTS & ORAL SURGERY LLCAs reported in NPPES

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

Authorized official

Name

Jenn Heritage

Title

Credentialing Manger

Phone

(405) 805-4516

Specialties & licenses 1

Addresses

Other names 1

• Imperial Dental Implants & Oral Surgery Doing business as

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Georgia Surgical Arts Dental Implants & Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Cumming, GA
  • NPI 1053231704
  NPPES parent name

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1093610156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PEACHTREE ST NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091881",
            "telephone_number": "470-645-9500",
            "fax_number": "470-747-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PEACHTREE ST NE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091881",
            "telephone_number": "470-645-9500",
            "fax_number": "470-747-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SURGICAL ARTS DENTAL IMPLANTS & ORAL SURGERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA SURGICAL ARTS DENTAL IMPLANTS & ORAL SURGERY LLC",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "HERITAGE",
        "authorized_official_first_name": "JENN",
        "authorized_official_title_or_position": "CREDENTIALING MANGER",
        "authorized_official_telephone_number": "405-805-4516"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imperial Dental Implants & Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Spinal Health & Wellness Inc
• Georgia Sports Chiropractic
• Georgia State Diagnostics LLC
• Georgia State Medical Supply LLC
• Georgia State University Physical
• Georgia Surgical Center on Peachtree, LLC
• Georgia Surgical Professional Services, LLC
• Georgia Tech Sports Medicine and Rehab
• Georgia Therapeutic Interventions
• Georgia Therapy

• 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 Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.