NPIMap

Organization Active NPI

Ga Prostho LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Duluth, GA
National Provider Identifier
1942140074
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GA PROSTHO LLC
Practice address
6320 Sugarloaf Pkwy
Duluth, GA 30097-4334
Phone
(770) 381-9333
NPI assigned
Mar 30, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Marina Yefrusi, RDH
Title
Manager
Phone
(770) 381-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

6320 Sugarloaf Pkwy
Duluth, GA 30097-4334

Mailing address

6320 Sugarloaf Pkwy
Duluth, GA 30097-4334
Phone (770) 381-9333

National Provider Directory

National Provider Directory

Locations

6320 Sugarloaf Pkwy
Duluth, GA 30097
Phone (770) 381-9333

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1942140074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SUGARLOAF PKWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974334",
            "telephone_number": "770-381-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SUGARLOAF PKWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974334",
            "telephone_number": "770-381-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA PROSTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "YEFRUSI",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-381-9333",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.