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BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY NPI 1659789170


NPI Information

NPI: 1659789170
Provider Name: BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY

Doing Business As: CRABAPPLE ORAL SURGERY & IMPLANT CENTER

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
260 RUCKER RD
SUITE 400
ALPHARETTA, GA
ZIP 30004
Phone: (678) 710-6000
Get Directions

BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery clinic center in Alpharetta, GA. The provider is an oral and maxillofacial surgery clinic or center 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. BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY NPI is 1659789170. The provider is registered as an organization entity type.
The provider Is Doing Business As Crabapple Oral Surgery & Implant Center.

The provider's business location address is:

260 RUCKER RD
SUITE 400
ALPHARETTA, GA
ZIP 30004-198
Phone: (678) 710-6000
Fax: (678) 710-6001

The provider's authorized official is Rools Luc Dessieux .
The authorized official title is Owner/oral & Maxillofacial Surgeon and has the following contact phone number (678) 710-6000.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 7/28/2014.


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
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryGEORGIAYes

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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