Organization Active NPI

Sandy Springs Oral Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
National Provider Identifier
1649740796
Registry record updated Dec 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SANDY SPRINGS ORAL SURGERY, LLC
Practice address
5555 Peachtree Dunwoody Rd Ste G56
Atlanta, GA 30342-1700
Phone
(404) 252-5626
Fax
(404) 252-9651
NPI assigned
Dec 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2018

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

Authorized official

Name
Dr. Robert Safwat Attia, DMD
Title
President
Phone
(404) 987-2637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

5555 Peachtree Dunwoody Rd Ste G56
Atlanta, GA 30342-1700

Mailing address

5555 Peachtree Dunwoody Rd Ste G56
Atlanta, GA 30342-1700
Phone (404) 252-5626

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543708800000",
    "number": "1649740796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE G56",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421700",
            "telephone_number": "404-252-5626",
            "fax_number": "404-252-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE G56",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421700",
            "telephone_number": "404-252-5626",
            "fax_number": "404-252-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SPRINGS ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-02",
        "last_updated": "2018-12-02",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SAFWAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-987-2637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; 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.