ORAL SURGERY ASSOCIATES & DENTAL IMPLANT CENTER PC
NPI 1003924788
Dentist - Oral and Maxillofacial Surgery in Conyers, GA

Q: What is Oral Surgery Associates & Dental Implant Center PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since August 25, 2006

1463 KLONDIKE RD, STE C, CONYERS, GA 30094(770) 483-9692(678) 487-1004 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Oral Surgery Associates & Dental Implant Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL SURGERY ASSOCIATES & DENTAL IMPLANT CENTER PC (NPI 1003924788) is a healthcare organization registered as an oral and maxillofacial surgery in Conyers, Georgia and active in the NPI registry since August 2006. The organization lists Susan Hoy, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1003924788

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameORAL SURGERY ASSOCIATES & DENTAL IMPLANT CENTER PC

Location Address1463 KLONDIKE RD, STE CConyers, GA 30094

Mailing Address1463 Klondike Rd, Ste CConyers, GA 30094 · (770) 483-9692 · Fax (678) 487-1004

Phone(770) 483-9692

Fax(678) 487-1004

Organization SubpartNo

Authorized OfficialSusan HoyChief Operating Officer · (770) 483-9692

Enumeration DateAugust 25, 2006

Last NPPES UpdateJanuary 4, 2011

✔ NPI 1003924788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

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.

1463 KLONDIKE RD, Conyers, GA 30094

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Other Identifiers 1

Medicare ID-Type Unspecified1708GA · Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral Surgery Associates & Dental Implant Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Oral Surgery Associates & Dental Implant Center PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Gordon Brady, DMD

Oral Surgery

NPI 1619085396

1463 KLONDIKE RD SUITE C
Conyers, GA 30094

(770) 483-9692

✔ PECOS✔ Accepts MedicareSame address

Robert Going, DDS

Oral Surgery

NPI 1376651034

1463 KLONDIKE ROAD SUITE C
Conyers, GA 30094

(770) 483-9692

✔ PECOSSame address

Brett Gray, DMD MD

Oral Surgery

NPI 1619085362

1463 KLONDIKE ROAD SUITE C
Conyers, GA 30094

(770) 483-9692

✔ PECOS✔ Accepts MedicareSame address

Steven King, DDS

Oral Surgery

NPI 1669580312

1463 KLONDIKE ROAD SUITE C
Conyers, GA 30094

(770) 483-9692

✔ PECOS✔ Accepts MedicareSame address

Fulton Lewis, DMD

Oral Surgery

NPI 1558479253

1463 KLONDIKE ROAD SUITE C
Conyers, GA 30094

(770) 483-9692

✔ PECOS✔ Accepts MedicareSame address

Steven Pollack, DDS

Oral Surgery

NPI 1366550063

1463 KLONDIKE ROAD SUITE C
Conyers, GA 30094

(770) 483-9692

✔ PECOS✔ Accepts MedicareSame address

Richard Singer, DDS

Oral Surgery

NPI 1750499414

1463 KLONDIKE RD SUITE C
Conyers, GA 30094

(770) 483-9692

✔ PECOSSame address

James Mcandrews, D.D.S.

Oral Surgery

NPI 1477626182

5243 SNAPFINGER WOODS DR STE 106
Decatur, GA 30035

(770) 981-9400

✔ PECOS✔ Accepts Medicare8.6 mi

Ravi Chandran, DMD PHD FACS

Oral Surgery

NPI 1043496235

2386 CLOWER ST STE 100
Snellville, GA 30078

(770) 979-9500

✔ PECOS✔ Accepts Medicare13 mi

Larry Parworth, D.D.S., M.S.

Oral Surgery

NPI 1023005923

307 S BROAD ST
Monroe, GA 30655

(678) 345-1014

✔ PECOS✔ Accepts Medicare21 mi

Katelyn Conley, DMD

Oral Surgery

NPI 1407470511

10930 CRABAPPLE RD STE 160
Roswell, GA 30075

(678) 781-0050

✔ PECOS✔ Accepts Medicare32 mi

Scott Tate, DDS, MS

Oral Surgery

NPI 1528166097

707 N MICHIGAN ST
South Bend, IN 46601

(574) 289-0080

✔ PECOS565 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral Surgery Associates & Dental Implant Center PC's NPI number?

The NPI number for Oral Surgery Associates & Dental Implant Center PC is 1003924788. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Oral Surgery Associates & Dental Implant Center PC located?

Oral Surgery Associates & Dental Implant Center PC is located at 1463 Klondike Rd Ste C, Conyers, GA 30094. The listed phone number is (770) 483-9692.

What is Oral Surgery Associates & Dental Implant Center PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Oral Surgery Associates & Dental Implant Center PC enrolled in Medicare?

Yes. Oral Surgery Associates & Dental Implant Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral Surgery Associates & Dental Implant Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Oral Surgery, reassign their Medicare billing to Oral Surgery Associates & Dental Implant Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oral Surgery Associates & Dental Implant Center PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Oral Surgery Associates & Dental Implant Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oral Surgery Associates & Dental Implant Center PC was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.