Greater Atlanta Oral Facial Surgery

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN013474 Issued in GA

Legal business name

GREATER ATLANTA ORAL FACIAL SURGERY

Practice address

425 Peachtree Pkwy
Cumming, GA 30041-7236

Phone

(404) 433-8433

NPI assigned

Oct 28, 2012

Organization subpart

No

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

Authorized official

Name

Abtin Shahriari, DMD, MPH

Title

Partial Owenr

Phone

(404) 433-8433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351382400000",
    "number": "1174877237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18856",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311260856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417236",
            "telephone_number": "404-433-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ATLANTA ORAL FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A",
        "authorized_official_last_name": "SHAHRIARI",
        "authorized_official_first_name": "ABTIN",
        "authorized_official_title_or_position": "PARTIAL OWENR",
        "authorized_official_telephone_number": "404-433-8433",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN013474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleonora Gramatikova, PHARM D.
• Nova A. Grande, DC
• Mikahla Grauss
• Kacie J. Graves, FNP
• Greater Atlanta Hearing P C
• Bethany Grace Green, MS, OTR/L
• Bryson May Green, OTR/L
• Elizabeth Noel Green, LMSW
• Gregg Soifer, MD, LLC
• Gregg Soifer, MD, LLC

• Dental Clinic/Center in Cumming, GA
• Providers in Cumming, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; 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.