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Contact Information

NORTH ATLANTA ORAL AND MAXILLOFACIAL SURGERY
2555 WESTSIDE PKWY STE 350
ALPHARETTA, GA30004-4191
 Phone: 770-664-6533
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for NORTH ATLANTA ORAL AND MAXILLOFACIAL SURGERY · (Female)

NPI # 1134682859
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2019
Last updated 04/09/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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