Organization · Type 2 NPI
Mount Vernon Oral Surgery LLC
Oral and Maxillofacial Surgery Clinic/Center · Atlanta, GA
NPI number
1073430724
Active
Practice location
1505 Mount Vernon Rd Ste 150
Atlanta, GA 30338-4158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | None listed |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery clinic/center providers in Atlanta
About NPI 1073430724
Mount Vernon Oral Surgery LLC's National Provider Identifier is 1073430724, issued on Jul 2, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Atlanta, GA. The record was last updated on Sep 18, 2026.