ORAL AND FACIAL SURGERY ASSOCIATES, PC; NPI #1699780163

Contact Information

ORAL AND FACIAL SURGERY ASSOCIATES, PC

745 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045-4317

Phone: 770-962-9515
Fax: 770-962-2722
Website:

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

Indicates primary specialty

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NPI Profile & details for ORAL AND FACIAL SURGERY ASSOCIATES, PC

NPI # 1699780163

LBN Legal business name ORAL AND FACIAL SURGERY ASSOCIATES, PC

Authorized official ROBERT ELLIS - (MANAGING PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/30/2006

Last updated 04/14/2026 - About 2 months ago

Identifiers

License #

DN009242

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.

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ORAL AND FACIAL SURGERY ASSOCIATES, PC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for ORAL AND FACIAL SURGERY ASSOCIATES, PC

Reviews for ORAL AND FACIAL SURGERY ASSOCIATES, PC