Individual provider · Type 1 NPI

Jeremie Oliver Pina, DDS, PhD, MBA, MS

Oral and Maxillofacial Surgery (Dentist) · Atlanta, GA

NPI number 1083553663 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 778-5279 Map

Mailing address

2003 Heathermere Way
Roswell, GA 30075-8356

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X18708 (MD)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN124262 (GA)
General Practice Dentistry 1223G0001XDN124262 (GA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X18708 (MD)

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 1083553663

Jeremie Oliver Pina, DDS, PhD, MBA, MS's National Provider Identifier is 1083553663, issued on Mar 27, 2026. 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 Aug 25, 2026.