Organization Active NPI

Dental Health Associates Oral Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
National Provider Identifier
1386953222
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DENTAL HEALTH ASSOCIATES ORAL SURGERY INC.
Practice address
2900 Delk Rd SE Ste 1450
Marietta, GA 30067-5322
Phone
(770) 951-1133
NPI assigned
Sep 27, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Mitch Spelios
Title
President
Phone
(678) 879-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

2900 Delk Rd SE Ste 1450
Marietta, GA 30067-5322

Mailing address

2900 Delk Rd SE Ste 1450
Marietta, GA 30067-5322

National Provider Directory

National Provider Directory

Locations

2900 Delk Rd SE
Ste 1450
Marietta, GA 30067
Phone (678) 502-5604

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1386953222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE STE 1450",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DELK RD SE STE 1450",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675322",
            "telephone_number": "770-951-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES ORAL SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "SPELIOS",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-879-1177"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.