ORAL AN IMPLANT SURGERY SPECIALISTS, PC; NPI #1396094074

Contact Information

ORAL AN IMPLANT SURGERY SPECIALISTS, PC

1260 HIGHWAY 54 W
SUITE 200
FAYETTEVILLE, GA 30214-4514

Phone: 770-461-2101
Fax: 770-460-1292
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

Edit contact information

NPI Profile & details for ORAL AN IMPLANT SURGERY SPECIALISTS, PC

NPI # 1396094074

LBN Legal business name ORAL AN IMPLANT SURGERY SPECIALISTS, PC

Authorized official DURWOOD JOHNSON - (DOCTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/10/2012

Last updated 05/10/2013 - About 13 years ago

Identifiers

GA	License #	007973
GA	Medicaid	000189351B

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for ORAL AN IMPLANT SURGERY SPECIALISTS, PC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for ORAL AN IMPLANT SURGERY SPECIALISTS, PC
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians

DURWOOD M JOHNSON JR, DMD
1260 HWY 54 W
FAYETTEVILLE, GA

GOFS STOCKBRIDGE
225 COUNTRY CLUB DR
STOCKBRIDGE, GA

ABIGAIL D LEONE, LPC
246 NEW COVENANT RD.
ABBEVILLE, GA

ISAIAS M MARTINEZ JR
2546 WOOD BEND LN
30296, GA

CHRISTOPHER J JACKSON, MD
720 WESTVIEW DR SW, ATLANTA, GA, 30310
720 WESTVIEW DRIVE SW, GA

ALEXIS N WALLACE, MD
AUGUSTA UNIVERSITY MEDICAL CENTER
1120 15TH ST, GA

MEAGAN M DANTONE, DO
49 JESSE HILL DR SE
30303, GA

View all Doctors & Physicians

ORAL AN IMPLANT SURGERY SPECIALISTS, PC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for ORAL AN IMPLANT SURGERY SPECIALISTS, PC

Reviews for ORAL AN IMPLANT SURGERY SPECIALISTS, PC