Individual provider · Type 1 NPI

Shivane K. Gupta, MD

Oral & Maxillofacial Surgery (D.M.D.) · Lilburn, GA

NPI number 1295046399 Active

Practice location

4150 Five Forks Trickum Rd SW Ste 1
Lilburn, GA 30047-3130

Fax (770) 717-7228

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000X078309 (GA)

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

About NPI 1295046399

Shivane K. Gupta, MD's National Provider Identifier is 1295046399, issued on Jun 24, 2010. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Lilburn, GA. The record was last updated on Jul 6, 2022.