Organization Active NPI

Blue Ocean Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1659789170
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY
Practice address
260 Rucker Rd
Suite 400
Alpharetta, GA 30004-4198
Phone
(678) 710-6000
Fax
(678) 710-6001
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Rools Luc Dessieux, DDS
Title
Owner/Oral & Maxillofacial Surgeon
Phone
(678) 710-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X GA Primary

Addresses

Primary practice location

260 Rucker Rd
Suite 400
Alpharetta, GA 30004-4198

Mailing address

260 Rucker Rd
Suite 400
Alpharetta, GA 30004-4198
Phone (678) 710-6000

Other names 1

  • Crabapple Oral Surgery & implant Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1659789170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 RUCKER RD",
            "address_2": "SUITE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044198",
            "telephone_number": "678-710-6000",
            "fax_number": "678-710-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 RUCKER RD",
            "address_2": "SUITE 400",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044198",
            "telephone_number": "678-710-6000",
            "fax_number": "678-710-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "DESSIEUX",
        "authorized_official_first_name": "ROOLS",
        "authorized_official_middle_name": "LUC",
        "authorized_official_title_or_position": "OWNER/ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "678-710-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crabapple Oral Surgery & implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.