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MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS LLC NPI 1104172741


NPI Information

NPI: 1104172741
Provider Name: MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS LLC

Doing Business As: MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
121 MARBLE MILL RD NW
SUITE 202
MARIETTA, GA
ZIP 30060
Phone: (770) 218-9135
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MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS LLC 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. MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS LLC NPI is 1104172741. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mountain View Oral Surgery & Dental Implants.

The provider's business location address is:

121 MARBLE MILL RD NW
SUITE 202
MARIETTA, GA
ZIP 30060-959
Phone: (770) 218-9135
Fax: (866) 224-2735

The provider's authorized official is Mark A Chishom .
The authorized official title is Oral Surgeon and has the following contact phone number (770) 218-9135.

The enumeration date for this NPI number is 8/1/2012 and was last updated on 8/1/2012.


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 SurgeryDN014013GEORGIAYes

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: 4/28/2024

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