Organization Active NPI

Ga Jaw LLC

Doing business as Georgia Jaw Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Cumming, GA
National Provider Identifier
1295652287
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GA JAW LLC
Doing business as
Georgia Jaw Surgery
Practice address
3275 Market Place Blvd Ste 175
Cumming, GA 30041-7981
Phone
(770) 676-2550
Fax
(770) 676-2560
NPI assigned
Jul 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Sam Caruso, DMD
Title
Owner/Principal
Phone
(847) 542-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3275 Market Place Blvd Ste 175
Cumming, GA 30041-7981

Mailing address

3275 Market Place Blvd Ste 175
Cumming, GA 30041-7981
Phone (770) 676-2550

Other names 1

  • Georgia Jaw Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1295652287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 MARKET PLACE BLVD STE 175",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417981",
            "telephone_number": "770-676-2550",
            "fax_number": "770-676-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 MARKET PLACE BLVD STE 175",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417981",
            "telephone_number": "770-676-2550",
            "fax_number": "770-676-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA JAW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER/PRINCIPAL",
        "authorized_official_telephone_number": "847-542-8131",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Jaw Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.