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ORAL SURGERY OF GEORGIA LLC
NPI 1417374034
Dentist - Oral and Maxillofacial Surgery in Sandy Springs, GA

Active since March 20, 2014
5590 ROSWELL RD, STE 270, SANDY SPRINGS, GA 30342(404) 389-1950 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oral Surgery Of Georgia Llc NPPES

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

ORAL SURGERY OF GEORGIA LLC (NPI 1417374034) is a healthcare organization registered as an oral and maxillofacial surgery in Sandy Springs, Georgia and active in the NPI registry since March 2014. The organization lists Charles O Coulter, Owner, as its authorized official.

NPPES Registry Identity

NPI1417374034
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL SURGERY OF GEORGIA LLC
Location Address5590 ROSWELL RD, STE 270Sandy Springs, GA 30342-1909
Mailing Address1350 Spring St Nw, Ste 600Atlanta, GA 30309-2864 · (404) 389-1950
Phone(404) 389-1950
Organization SubpartNo
Authorized OfficialCharles O CoulterOwner · (404) 389-1950
Enumeration DateMarch 20, 2014
✔ NPI 1417374034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in GA · DN013607
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.
5590 ROSWELL RD, Sandy Springs, GA 30342
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

CRBAPPLE ORAL SURGERY LLC
Dentist (Oral and Maxillofacial Surgery)
5590 ROSWELL RD
SANDY SPRINGS, GA 30342
Fulton County (678) 710-6000
CHILDREN'S DENTISTRY OF SANDY SPRINGS
Dentist (Pediatric Dentistry)
5590 ROSWELL RD, STE A270
SANDY SPRINGS, GA 30342
Fulton County (678) 445-5444
DENTISTRY FOR CHILDREN OF SANDY SPRINGS, LLC
Dentist (Pediatric Dentistry)
5590 ROSWELL RD, STE A270
SANDY SPRINGS, GA 30342
Fulton County (678) 445-5444
FAMILY ORTHODONTICS OF SS, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
5590 ROSWELL RD
SANDY SPRINGS, GA 30342
Fulton County (678) 449-1919

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 Surgery Of Georgia LLC's NPI number?

The NPI number for Oral Surgery Of Georgia LLC is 1417374034. It was assigned to this organization in the NPPES registry on March 20, 2014.

Where is Oral Surgery Of Georgia LLC located?

Oral Surgery Of Georgia LLC is located at 5590 Roswell Rd Ste 270, Sandy Springs, GA 30342. The listed phone number is (404) 389-1950.

What is Oral Surgery Of Georgia LLC's specialty?

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

What insurance does Oral Surgery Of Georgia LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Oral Surgery Of Georgia LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oral Surgery Of Georgia LLC was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.