NORTHWEST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C. is an oral and maxillofacial surgery dentist in Marietta, GA. The provider is an oral and maxillofacial surgery dentist specialized in 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. NORTHWEST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C. NPI is 1194732735. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
55 WHITCHER ST NE
SUITE 140
MARIETTA, GA
ZIP 30060-155
Phone: (770) 422-7630
Fax: (770) 422-6017
The provider's authorized official is Manuel A. Davila .
The authorized official title is President and has the following contact phone number (770) 422-7630.
The CLIA number assigned to this NPI record is 11D2041446 - other - extension of phy office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/2/2006 and was last updated on 6/22/2015.