Active NPI
Christine Marie Talegaonkar, DMD, MD
- Oral and Maxillofacial Surgery (Dentist)
- Marietta, GA
National Provider Identifier
1497314454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0438000534
- Practice address
- 1880 W Oak Pkwy Ste 111
Marietta, GA 30062-2274 - Phone
- (678) 905-9066
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401419350 | VA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0438000534 | VA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN124034 | GA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DRPM2060 | FL |
Addresses
Primary practice location
1880 W Oak Pkwy Ste 111
Marietta, GA 30062-2274
Mailing address
1880 W Oak Pkwy Ste 111
Marietta, GA 30062-2274
Phone (678) 905-9066
Other names 1
- Christine Marie Straka
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1880 W Oak Pkwy
Suite 111
Marietta, GA 30062-2272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419350 | VA | MD | Dentist |
| DRPM2060 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| DN124034 | GA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0438000534 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Facial Trauma Specialists LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| University of Frida | Dentist | Past | Accepting new patients |
Locations
1880 W Oak Pkwy
Ste 111
Marietta, GA 30062
Phone (404) 781-9750
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Suwanee, GA
- NPI 1285512087
-
- Dentist
- Gainesville, FL
- NPI 1629429204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1497314454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 W OAK PKWY STE 111",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622274",
"telephone_number": "678-905-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 W OAK PKWY STE 111",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622274",
"telephone_number": "678-905-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALEGAONKAR",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "DMD, MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401419350",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0438000534",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "GA",
"license": "DN124034",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DRPM2060",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "STRAKA",
"middle_name": "MARIE",
"credential": "DMD, MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.