Jay Brian Reznick, MD, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

103907 Issued in GA

Practice address

8265 Highway 92 Ste 116
Woodstock, GA 30189-6520

Phone

(818) 269-5625

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jreznick389922@oc.providencedirect.org

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1962519272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 KNIGHTSBRIDGE WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046732",
            "telephone_number": "818-269-5625",
            "fax_number": "818-269-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 HIGHWAY 92 STE 116",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896520",
            "telephone_number": "818-269-5625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3329 Cobb Pkwy NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301018841",
            "country_code": "US",
            "telephone_number": "818-269-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3429 Lawrenceville Suwanee Rd Ste E-F",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300242433",
            "country_code": "US",
            "telephone_number": "818-269-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "876 Buford Rd",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300412716",
            "country_code": "US",
            "telephone_number": "818-269-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3420 Buford Dr Ste E780",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305198774",
            "country_code": "US",
            "telephone_number": "818-269-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Rockbridge Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Stone Mtn",
            "state": "GA",
            "postal_code": "300873065",
            "country_code": "US",
            "telephone_number": "818-269-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5310 Matt Hwy Ste 304305",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300288610",
            "country_code": "US",
            "telephone_number": "818-269-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1979 Jesse Jewell Pkwy SE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012665",
            "country_code": "US",
            "telephone_number": "818-269-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZNICK",
        "first_name": "JAY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "37485",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "123680",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A055148",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "103907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Woodstock, GA
• Providers in Woodstock, 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 Jan 13, 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.