Glenn Maron, DDS FACS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

010345 Issued in GA

Practice address

999 Peachtree St NE
Ste 715
Atlanta, GA 30309

Phone

(404) 892-2999

Fax

(404) 815-7730

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gmaron2277@choa.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Oral & Maxillofacial Surgery Associates, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1194732735
  NPD (past)
• Peachtree Dunwoody Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1770981763
  NPD (past)
• Peachtree Dunwoody Oral and Facial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
  • NPI 1639542459
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1295791549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 660",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422018",
            "telephone_number": "404-892-2999",
            "fax_number": "404-815-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PEACHTREE ST NE",
            "address_2": "STE 715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-892-2999",
            "fax_number": "404-815-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARON",
        "first_name": "GLENN",
        "credential": "DDS FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "GA",
            "license": "10345",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "GA",
            "license": "010345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marmer Medical Eye Center PC-Dba Atlanta Fashion Optical
• Robert H Marmer, MD
• Taylor Marmol
• Ellen Harris Marmon, MS, LPC
• Thomas Andrew Marnell, LPC
• Seema Maroo, MD
• Mohammed Maroof
• Ana Paula Marques Pinheiro
• Claudia Marquez
• Angela Michelle Marquis, AA-C

• Oral & Maxillofacial Surgery (D.M.D.) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.