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PEACHTREE DUNWOODY ORAL AND FACIAL SURGERY PC NPI 1639542459


NPI Information

NPI: 1639542459
Provider Name: PEACHTREE DUNWOODY ORAL AND FACIAL SURGERY, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 11D0982108

Address:
999 PEACHTREE ST NE
SUITE 715
ATLANTA, GA
ZIP 30309
Phone: (404) 892-2999
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PEACHTREE DUNWOODY ORAL AND FACIAL SURGERY, PC is an oral and maxillofacial surgery dentist in Atlanta, 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. PEACHTREE DUNWOODY ORAL AND FACIAL SURGERY, PC NPI is 1639542459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

999 PEACHTREE ST NE
SUITE 715
ATLANTA, GA
ZIP 30309-915
Phone: (404) 892-2999
Fax: (404) 815-7730

The provider's authorized official is Amy Kuhmichel Diane Kuhmichel .
The authorized official title is Co-owner and has the following contact phone number (404) 892-2999.

The CLIA number assigned to this NPI record is 11D0982108 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/2/2015.


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 SurgeryDN013687GEORGIAYes

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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