Cobb Oral Surgery and Dental Implant Center PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

COBB ORAL SURGERY AND DENTAL IMPLANT CENTER PC

Practice address

2155 Post Oak Tritt Rd Ste 500
Marietta, GA 30062-8609

Phone

(770) 973-1738

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sanjeet Chaudhary, DMDNPI 1396977369

Title

Owner

Phone

(617) 642-4893

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjeet R Chaudhary, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1396977369
  Authorized official Same address or phone

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1700354677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 SPRINGFIELD AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742439",
            "telephone_number": "617-642-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628609",
            "telephone_number": "770-973-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB ORAL SURGERY AND DENTAL IMPLANT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "SANJEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-642-4893",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cobb Eye Associates I
• Cobb Eye Center LLP
• Cobb Foot & Leg Surgical Center, LLC
• Cobb Hyperbaric Medicine, Inc
• Cobb Internal Medicine Associates
• Cobb Outpatient Detox, LLC (Metro Atlanta Outpatient Detox)
• Cobb Pain and Rehabilitation
• Cobb Pediatrics
• Cobb Pediatrics, P.C.
• Cobb Pulmonary Associates PC

• Oral and Maxillofacial Surgery (Dentist) in Marietta, GA
• Providers in Marietta, 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 Nov 8, 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.