Organization · Type 2 NPI

East Atlanta Oral, Implant and Facial Surgery Center

Oral and Maxillofacial Surgery (Dentist) · Atlanta, GA

NPI number 1245721216 Active

Practice location

519 Memorial Dr SE Unit D1
Atlanta, GA 30312-2218

Mailing address

2115 Wolbert Trl
Marietta, GA 30062-7908

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1245721216

East Atlanta Oral, Implant and Facial Surgery Center's National Provider Identifier is 1245721216, issued on May 24, 2018. 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 May 24, 2018.