ATLANTA ORAL & FACIAL SURGERY LLC
NPI 1164289377
Dentist - Oral and Maxillofacial Surgery in Marietta, GA

Q: What is Atlanta Oral & Facial Surgery LLC's NPI number?

The NPI number for Atlanta Oral & Facial Surgery LLC is 1164289377. It was assigned to this organization in the NPPES registry on March 4, 2024.

Q: What is Atlanta Oral & Facial Surgery LLC's specialty?

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

Active since March 04, 2024

1000 JOHNSON FERRY RD BLDG H, MARIETTA, GA 30068(770) 977-0364 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Atlanta Oral & Facial Surgery Llc NPPES

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

ATLANTA ORAL & FACIAL SURGERY LLC (NPI 1164289377) is a healthcare organization registered as an oral and maxillofacial surgery in Marietta, Georgia and active in the NPI registry since March 2024. The organization lists Nancy Hancock, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164289377

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameATLANTA ORAL & FACIAL SURGERY LLC

Location Address1000 JOHNSON FERRY RD BLDG HMarietta, GA 30068-5518

Mailing Address121 Marble Mill Rd Nw Ste 203Marietta, GA 30060-7959 · (770) 356-0489

Phone(770) 977-0364

Organization SubpartYesParent: Atlanta Oral & Facial Surgery

Authorized OfficialNancy HancockCredentialing · (770) 356-0489

Enumeration DateMarch 4, 2024

NPPES CertifiedMarch 4, 2024

✔ NPI 1164289377 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.

1000 JOHNSON FERRY RD BLDG H, Marietta, GA 30068

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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

JONATHAN MAXWELL CHRISENBERRY THREADGILL D.M.D.

Dentist (Oral and Maxillofacial Surgery)