Active NPI
Paul J. Schaner II, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Marietta, GA
National Provider Identifier
1790789121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN0012230
- Practice address
- 1000 Johnson Ferry Rd
BLDG H
Marietta, GA 30068-5518 - Phone
- (770) 977-0364
- Fax
- (678) 819-6531
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN0012230 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd
BLDG H
Marietta, GA 30068-5518
Mailing address
1000 Johnson Ferry Rd
BLDG H
Marietta, GA 30068-5518
Phone (770) 977-0364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0012230 | GA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Oral & Facial Surgery LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
1000 Johnson Ferry Rd
Bldg H
Marietta, GA 30068
Phone (770) 973-4344
3405 Dallas Hwy SW
Bldg 900
Marietta, GA 30064
Phone (770) 424-2003
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Marietta, GA
- NPI 1992738165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790789121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"address_2": "BLDG H",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685518",
"telephone_number": "770-977-0364",
"fax_number": "678-819-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"address_2": "BLDG H",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685518",
"telephone_number": "770-977-0364",
"fax_number": "678-819-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHANER",
"first_name": "PAUL",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "GA",
"license": "DN0012230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.