Individual provider · Type 1 NPI

Sam Reiser Caruso, DMD

Oral and Maxillofacial Surgery (Dentist) · Cumming, GA

NPI number 1922627256 Active

Practice location

3275 Market Place Bvld. Ste 175
Cumming, GA 30041

Fax (770) 676-2560

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XDRP2199 (FL)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN123254 (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 1922627256

Sam Reiser Caruso, DMD's National Provider Identifier is 1922627256, issued on Apr 16, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cumming, GA. The record was last updated on Oct 28, 2026.