MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS
NPI 1104172741
Dentist - Oral and Maxillofacial Surgery in Marietta, GA

Active since August 01, 2012
121 MARBLE MILL RD NW, SUITE 202, MARIETTA, GA 30060(770) 218-9135(866) 224-2735 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS

This page provides the complete NPI Profile along with additional information for Mountain View Oral Surgery & Dental Implants, a provider established in Marietta, Georgia operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1104172741 assigned on August 2012. The practitioner's primary taxonomy code is 1223S0112X with license number DN014013 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Mountain View Oral Surgery & Dental Implants. The authorized official of this NPI record is Mark A Chishom Dmd (Oral Surgeon)

NPI
1104172741 Verify this NPI
Provider Legal Name
MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS LLC
Other Organization Name
MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
121 MARBLE MILL RD NW SUITE 202 MARIETTA, GA 30060
Location Phone
(770) 218-9135
Location Fax
(866) 224-2735
Mailing Address
121 MARBLE MILL RD NW SUITE 202 MARIETTA, GA 30060
Mailing Phone
(770) 218-9135
Mailing Fax
(866) 224-2735
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2012
Last Update Date
08-01-2012
Code Navigator

A dentist like Mountain View Oral Surgery & Dental Implants is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
DN014013
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK A CHISHOM DMD

Authorized Official Title
ORAL SURGEON
Authorized Official Phone
(770) 218-9135

Reviews for MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pediatrics
121 MARBLE MILL RD NW, SUITE 101
MARIETTA, GA 30060
Dentist (General Practice)
121 MARBLE MILL RD NW, SUITE 201
MARIETTA, GA 30060
Pediatrics
121 MARBLE MILL RD NW, SUITE 101
MARIETTA, GA 30060
Pediatrics
121 MARBLE MILL RD NW, STE 101
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104172741, enumerated as an "organization" on August 01, 2012.

The provider is located at 121 MARBLE MILL RD NW SUITE 202 MARIETTA, GA 30060 and the phone number is (770) 218-9135.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.