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GA SPECIALTY DENTAL SERVICES, PC
NPI 1366208431
Dentist - Oral and Maxillofacial Surgery in Suwanee, GA

Active since February 26, 2024
4355 JOHNS CREEK PKWY STE 530, SUWANEE, GA 30024(770) 495-9193 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ga Specialty Dental Services, Pc NPPES

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

GA SPECIALTY DENTAL SERVICES, PC (NPI 1366208431), doing business as Signature Dental Implants And Oral Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Suwanee, Georgia and active in the NPI registry since February 2024. The organization maintains a secondary practice location in Suwanee and lists Charlotte Dasch, Director Of Credentialing &pr, as its authorized official.

NPPES Registry Identity

NPI1366208431
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGA SPECIALTY DENTAL SERVICES, PC
Location Address4355 JOHNS CREEK PKWY STE 530Suwanee, GA 30024-9100
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759
Phone(770) 495-9193
Organization SubpartYes
Authorized OfficialCharlotte DaschDirector Of Credentialing &pr · (504) 638-0303
Enumeration DateFebruary 26, 2024
Last NPPES UpdateFebruary 28, 2025
NPPES CertifiedFebruary 28, 2025
✔ NPI 1366208431 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.
4355 JOHNS CREEK PKWY STE 530, Suwanee, GA 30024
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Other Names 1

Doing Business AsSignature Dental Implants And Oral Surgery

Secondary Practice Location 1

Location 11380 Peachtree Industrial Blvd Ste 100Suwanee, GA 30024-3793 · Phone (770) 232-1191

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

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

DR. CHRISTINE DOUGHERTY SHURLEY D.D.S.
Oral & Maxillofacial Surgery
4355 JOHNS CREEK PKWY STE 530
SUWANEE, GA 30024
Gwinnett County (770) 495-9193

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 Ga Specialty Dental Services, PC's NPI number?

The NPI number for Ga Specialty Dental Services, PC is 1366208431. It was assigned to this organization in the NPPES registry on February 26, 2024. The provider is doing business as Signature Dental Implants and Oral Surgery.

Where is Ga Specialty Dental Services, PC located?

Ga Specialty Dental Services, PC is located at 4355 Johns Creek Pkwy Ste 530, Suwanee, GA 30024. The listed phone number is (770) 495-9193.

What is Ga Specialty Dental Services, PC'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 Ga Specialty Dental Services, PC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.