Ga Oms SDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GA OMS SDS PC

Practice address

1380 Peachtree Industrial Blvd Ste 100
Suwanee, GA 30024-3793

Phone

(770) 232-1191

NPI assigned

Aug 14, 2025

Organization subpart

No

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

Authorized official

Name

Charlotte Dasch

Title

Sr. Director of Credentialing

Phone

(504) 638-0303

Specialties & licenses 1

Addresses

Tax ID family

Ga Oms SDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ga Oms SDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Suwanee, GA
  • NPI 1548146426
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ga Oms SDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Suwanee, GA
  • NPI 1548146426
  NPPES parent name

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1497631378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "504-638-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243793",
            "telephone_number": "770-232-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA OMS SDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SR. DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Friberg, PT
• Breanna Fuchs
• Brittany Fuller
• Fusion Sleep Therapy Services
• G. Wells Petras, LLC
• Ga Oms SDS PC
• Ga Southern Dental PPO
• Ga Specialty Dental Services
• Ga Specialty Dental Services II, PC
• Ga Specialty Dental Services, PC

• Oral and Maxillofacial Surgery (Dentist) in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.