Intown Oral Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

INTOWN ORAL SURGERY, LLC

Practice address

1800 Peachtree St NW Ste 850
Atlanta, GA 30309-2515

Phone

(404) 643-7543

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer D Okhiria, DDSNPI 1215164124

Title

Owner

Phone

(404) 643-7543

Specialties & licenses 1

Addresses

Other names 1

• Buckhead Oral Surgery Suite Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Dawn Okhiria, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Decatur, GA
  • NPI 1215164124
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1518629161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 BERNE ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 850",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092515",
            "telephone_number": "404-643-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTOWN ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "OKHIRIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-643-7543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckhead Oral Surgery Suite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intown Counseling & Wellness
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• Intown Infectious Diseases, LLC
• Intown Medicine Inc
• Intown Optics Inc
• Intown Pediatric and Adolescent Medicine
• Intown Pediatric Behavioral Wellness LLC
• Intown Pediatric Therapy LLC
• Intown Pediatrics
• Intown Physical Therapy, LLC

• Oral and Maxillofacial Surgery (Dentist) in Atlanta, GA
• Providers in Atlanta, 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 Oct 12, 2021; 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.