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ORAL AND FACIAL SURGERY ASSOCIATES PC NPI 1699780163


NPI Information

NPI: 1699780163
Provider Name: ORAL AND FACIAL SURGERY ASSOCIATES, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
745 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 962-9515
Get Directions

ORAL AND FACIAL SURGERY ASSOCIATES, PC is an oral and maxillofacial surgery dentist in Lawrenceville, GA. The provider is 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. ORAL AND FACIAL SURGERY ASSOCIATES, PC NPI is 1699780163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

745 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30045-317
Phone: (770) 962-9515
Fax: (770) 962-2722

The provider's authorized official is Robert E Ellis .
The authorized official title is Managing Partner and has the following contact phone number (770) 962-9515.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDN009242GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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