Individual provider Active NPI

Christine Marie Talegaonkar, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
National Provider Identifier
1497314454
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000534 Issued in VA
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

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415000680 GA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2567938855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral 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

LicenseStateTypeSpecialty
0401419350VAMDDentist
DRPM2060FLMDOral and Maxillofacial Surgery (Dentist)
DN124034GAMDOral and Maxillofacial Surgery (Dentist)
0438000534VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Facial Trauma Specialists LLC Oral and Maxillofacial Surgery CurrentSince Apr 1, 2026 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.

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

Verify at the official NPI Registry.