Organization · Type 2 NPI

Oral Surgery of West Cobb, Inc.

Oral and Maxillofacial Surgery (Dentist) · Kennesaw, GA

NPI number 1801160031 Active

Practice location

5255 Stilesboro Rd NW, Ste 120
Kennesaw, GA 30152-7737

Fax (770) 499-2157

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN013572 (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 1801160031

Oral Surgery of West Cobb, Inc.'s National Provider Identifier is 1801160031, issued on Mar 6, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Kennesaw, GA. The record was last updated on Mar 6, 2012.