Organization · Type 2 NPI

Southwest Maxillofacial Surgery & Implant Center

Oral and Maxillofacial Surgery (Dentist) · Atlanta, GA

NPI number 1073743795 Active

Practice location

3885 Princeton Lakes Way SW, 406
Atlanta, GA 30331-5589

Call (404) 629-6610 Map

Fax (404) 629-6630

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN013463 (GA)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1073743795

Southwest Maxillofacial Surgery & Implant Center's National Provider Identifier is 1073743795, issued on Jul 15, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Atlanta, GA. The record was last updated on Jul 15, 2009.