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NORTHWEST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C.
NPI 1194732735
Dentist - Oral and Maxillofacial Surgery in Marietta, GA

Active since August 02, 2006
55 WHITCHER ST NE, SUITE 140, MARIETTA, GA 30060(770) 422-7630(770) 422-6017 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Oral & Maxillofacial Surgery Associates, P.c. NPPES

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

NORTHWEST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C. (NPI 1194732735) is a healthcare organization registered as an oral and maxillofacial surgery in Marietta, Georgia and active in the NPI registry since August 2006. The organization lists Manuel A. Davila, President, as its authorized official.

NPPES Registry Identity

NPI1194732735
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORTHWEST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.C.
Location Address55 WHITCHER ST NE, SUITE 140Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 140Marietta, GA 30060-1155 · (770) 422-7630 · Fax (770) 422-6017
Phone(770) 422-7630
Fax(770) 422-6017
Organization SubpartNo
Authorized OfficialManuel A. DavilaPresident · (770) 422-7630
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 22, 2015
✔ NPI 1194732735 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.
55 WHITCHER ST NE, Marietta, GA 30060
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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

Other Providers at the Same Location NPPES 20

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

DR. ROBERT DAVID JANSEN M.D.
Internal Medicine (Nephrology)
55 WHITCHER ST NE, STE 460
MARIETTA, GA 30060
Cobb County (770) 427-7389
DR. MADHAVI JORDAN MD
Surgery
55 WHITCHER ST NE, SUIT 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
MR. REYES TORRES III PA-C
Physician Assistant
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
ASIF A SABERI M.D.
Internal Medicine (Critical Care Medicine)
55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060
Cobb County (770) 422-1372
BRYAN T. PIEDAD M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
MICHAEL J RILEY M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
KAMARA SUZANNE HEARD ACNP
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE
MARIETTA, GA 30060
Cobb County (770) 422-1372
JACLYN WOOD NP
Nurse Practitioner (Family)
55 WHITCHER ST NE, SUITE 250
MARIETTA, GA 30060
Cobb County (770) 428-4475

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 Northwest Oral & Maxillofacial Surgery Associates, P.C.'s NPI number?

The NPI number for Northwest Oral & Maxillofacial Surgery Associates, P.C. is 1194732735. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Northwest Oral & Maxillofacial Surgery Associates, P.C. located?

Northwest Oral & Maxillofacial Surgery Associates, P.C. is located at 55 Whitcher St NE Suite 140, Marietta, GA 30060. The listed phone number is (770) 422-7630.

What is Northwest Oral & Maxillofacial Surgery Associates, P.C.'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 Northwest Oral & Maxillofacial Surgery Associates, P.C. was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.