Organization Active NPI

Georgia Oral Surgical Institute LLC

Doing business as Rome Oral Surgery & Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Rome, GA
National Provider Identifier
1972420347
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
GEORGIA ORAL SURGICAL INSTITUTE LLC
Doing business as
Rome Oral Surgery & Implant Center
Practice address
21 John Maddox Dr NW
Rome, GA 30165-1413
Phone
(706) 234-0718
Fax
(706) 290-9577
NPI assigned
Jul 6, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Dr. Chris S Kim, DMD, MDNPI 1003293077
Title
Healthcare Provider
Phone
(858) 740-0706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

21 John Maddox Dr NW
Rome, GA 30165-1413

Mailing address

21 John Maddox Dr NW
Rome, GA 30165-1413
Phone (706) 234-0718

Other names 1

  • Rome Oral Surgery & Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

21 John Maddox Dr NW
Rome, GA 30165

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1972420347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651413",
            "telephone_number": "706-234-0718",
            "fax_number": "706-290-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651413",
            "telephone_number": "706-234-0718",
            "fax_number": "706-290-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ORAL SURGICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "HEALTHCARE PROVIDER",
        "authorized_official_telephone_number": "858-740-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rome Oral Surgery & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.