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: August 23, 2026.

About Mountain View Oral Surgery & Dental Implants NPPES

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

MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS (NPI 1104172741) is a healthcare organization registered as an oral and maxillofacial surgery in Marietta, Georgia and active in the NPI registry since August 2012. The organization lists Mark A Chishom, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1104172741
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS LLC
Location Address121 MARBLE MILL RD NW, SUITE 202Marietta, GA 30060-7959
Mailing Address121 Marble Mill Rd Nw, Suite 202Marietta, GA 30060-7959 · (770) 218-9135 · Fax (866) 224-2735
Fax(866) 224-2735
Organization SubpartNo
Authorized OfficialMark A ChishomOral Surgeon · (770) 218-9135
Enumeration DateAugust 1, 2012
NPI 1104172741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in GA · DN014013
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.
121 MARBLE MILL RD NW, Marietta, GA 30060

Other Names 1

Doing Business AsMountain View Oral Surgery & Dental Implants

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 Mountain View Oral Surgery & Dental Implants LLC's NPI number?

The NPI number for Mountain View Oral Surgery & Dental Implants LLC is 1104172741. It was assigned to this organization in the NPPES registry on August 1, 2012. The provider is doing business as Mountain View Oral Surgery & Dental Implants.

Where is Mountain View Oral Surgery & Dental Implants LLC located?

Mountain View Oral Surgery & Dental Implants LLC is located at 121 Marble Mill Rd NW Suite 202, Marietta, GA 30060. The listed phone number is (770) 218-9135.

What is Mountain View Oral Surgery & Dental Implants LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mountain View Oral Surgery & Dental Implants LLC was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.