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EAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER
NPI 1245721216
Dentist - Oral and Maxillofacial Surgery in Atlanta, GA

Active since May 24, 2018
519 MEMORIAL DR SE UNIT D1, ATLANTA, GA 30312(404) 483-6316 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Atlanta Oral, Implant And Facial Surgery Center NPPES

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

EAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER (NPI 1245721216) is a healthcare organization registered as an oral and maxillofacial surgery in Atlanta, Georgia and active in the NPI registry since May 2018. The organization lists Jeremy Tarver, Owner, as its authorized official.

NPPES Registry Identity

NPI1245721216
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER
Location Address519 MEMORIAL DR SE UNIT D1Atlanta, GA 30312-2218
Mailing Address2115 Wolbert TrlMarietta, GA 30062-7908 · (770) 382-3536
Phone(404) 483-6316
Organization SubpartNo
Authorized OfficialJeremy TarverOwner · (770) 382-3536
Enumeration DateMay 24, 2018
✔ NPI 1245721216 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.
519 MEMORIAL DR SE UNIT D1, Atlanta, GA 30312
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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

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

EVAN JOSEPH DDS
Dentist (Oral and Maxillofacial Surgery)
519 MEMORIAL DR SE UNIT D1
ATLANTA, GA 30312
Fulton County (404) 709-2903

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 East Atlanta Oral, Implant And Facial Surgery Center's NPI number?

The NPI number for East Atlanta Oral, Implant And Facial Surgery Center is 1245721216. It was assigned to this organization in the NPPES registry on May 24, 2018.

Where is East Atlanta Oral, Implant And Facial Surgery Center located?

East Atlanta Oral, Implant And Facial Surgery Center is located at 519 Memorial Dr SE Unit D1, Atlanta, GA 30312. The listed phone number is (404) 483-6316.

What is East Atlanta Oral, Implant And Facial Surgery Center'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 East Atlanta Oral, Implant And Facial Surgery Center was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.