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ORAL AN IMPLANT SURGERY SPECIALISTS, PC
NPI 1396094074
Oral & Maxillofacial Surgery in Fayetteville, GA

Active since September 10, 2012
1260 HIGHWAY 54 W, SUITE 200, FAYETTEVILLE, GA 30214(770) 461-2101(770) 460-1292 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral An Implant Surgery Specialists, Pc NPPES

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

ORAL AN IMPLANT SURGERY SPECIALISTS, PC (NPI 1396094074) is a healthcare organization registered as an oral & maxillofacial surgery in Fayetteville, Georgia and active in the NPI registry since September 2012. The organization lists Durwood M Johnson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1396094074
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameORAL AN IMPLANT SURGERY SPECIALISTS, PC
Location Address1260 HIGHWAY 54 W, SUITE 200Fayetteville, GA 30214-4514
Mailing Address1260 Highway 54 W, Suite 200Fayetteville, GA 30214-4514 · (770) 461-2101 · Fax (770) 460-1292
Phone(770) 461-2101
Fax(770) 460-1292
Organization SubpartNo
Authorized OfficialDurwood M JohnsonDoctor · (770) 461-2101
Enumeration DateSeptember 10, 2012
Last NPPES UpdateMay 10, 2013
✔ NPI 1396094074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in GA · 007973
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1260 HIGHWAY 54 W, Fayetteville, GA 30214
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Other Identifiers 3

Medicaid000189351BGA
Medicare UPINU22627GA
Medicare PIN19NCCGCGA

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 7

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

RHEUMATOLOGY ARTHRITIS CENTE, INC.
Clinic/Center (Medical Specialty)
1260 HIGHWAY 54 W, SUITE 103
FAYETTEVILLE, GA 30214
Fayette County (678) 783-0164
SOMNOLIFE, LLC
Clinic/Center (Sleep Disorder Diagnostic)
1260 HIGHWAY 54 W, SUITE 203
FAYETTEVILLE, GA 30214
Fayette County (770) 692-7580
CROSS MY HEART PHYSICAL THERAPY
Physical Therapist
1260 HIGHWAY 54 W, SUITE 101
FAYETTEVILLE, GA 30214
Fayette County (404) 392-7110
JOY BRUMBELOE CNM
Advanced Practice Midwife
1260 HIGHWAY 54 W, STE 101
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4644
DR. LISA M AVERY M.D.
Psychiatry & Neurology (Neurology)
1260 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (214) 619-1910
MRS. KAREN G BARBER
Physical Therapist
1260 HIGHWAY 54 W, SUITE 101
FAYETTEVILLE, GA 30214
Fayette County (404) 392-7110
GEORGIA UROGYNECOLOGY, PC
Obstetrics & Gynecology (Gynecology)
1260 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 460-4644

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 Oral An Implant Surgery Specialists, PC's NPI number?

The NPI number for Oral An Implant Surgery Specialists, PC is 1396094074. It was assigned to this organization in the NPPES registry on September 10, 2012.

Where is Oral An Implant Surgery Specialists, PC located?

Oral An Implant Surgery Specialists, PC is located at 1260 Highway 54 W Suite 200, Fayetteville, GA 30214. The listed phone number is (770) 461-2101.

What is Oral An Implant Surgery Specialists, PC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Oral An Implant Surgery Specialists, PC was last updated on May 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.