Atlanta Oral & Facial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ATLANTA ORAL & FACIAL SURGERY LLC

Practice address

1000 Johnson Ferry Rd BLDG H
Marietta, GA 30068-5518

Phone

(770) 977-0364

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ATLANTA ORAL & FACIAL SURGERYAs reported in NPPES

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

Authorized official

Name

Nancy Hancock

Title

Credentialing

Phone

(770) 356-0489

Specialties & licenses 1

Addresses

Tax ID family

Atlanta Oral Facial Surg3 organizations share this tax ID, including this one

Part of

Atlanta Oral Facial Surg

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Atlanta Oral & Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Acworth, GA
  • NPI 1679330898
  NPD tax ID
• Atlanta Oral & Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1992738165
  NPD tax ID

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.

• Atlanta Oral & Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1992738165
  NPPES parent name

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1164289377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MARBLE MILL RD NW STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607959",
            "telephone_number": "770-356-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD BLDG H",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685518",
            "telephone_number": "770-977-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA ORAL & FACIAL SURGERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA ORAL & FACIAL SURGERY",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "770-356-0489"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Home Care, Inc
• Atlanta Kids ENT, PC
• Atlanta Laser Vein Institute, LLC
• Atlanta Medical Supply Inc
• Atlanta Mobility Solutions LLC
• Atlanta Oral & Facial Surgery LLC
• Atlanta Orthopaedic Specialists
• Atlanta Osteoarthritis Center LLC
• Atlanta Pain Specialists
• Atlanta Psychoterapy and Consulting, LLC

• Oral and Maxillofacial Surgery (Dentist) in Marietta, GA
• Providers in Marietta, 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 Mar 4, 2024; 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.