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ORAL SURGERY OF WEST COBB INC. NPI 1801160031


NPI Information

NPI: 1801160031
Provider Name: ORAL SURGERY OF WEST COBB, INC.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5255 STILESBORO RD NW
STE 120
KENNESAW, GA
ZIP 30152
Phone: (770) 499-2152
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ORAL SURGERY OF WEST COBB, INC. is an oral and maxillofacial surgery dentist in Kennesaw, 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. ORAL SURGERY OF WEST COBB, INC. NPI is 1801160031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5255 STILESBORO RD NW
STE 120
KENNESAW, GA
ZIP 30152-737
Phone: (770) 499-2152
Fax: (770) 499-2157

The provider's authorized official is Kellie Guffin .
The authorized official title is Adminsitrator and has the following contact phone number (770) 499-2152.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 3/6/2012.


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 SurgeryDN013572GEORGIAYes

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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