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ORO-FACIAL CENTER INC
NPI 1457897928
Oral & Maxillofacial Surgery in Tucker, GA

Active since January 09, 2017
3574 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084(770) 934-2339 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oro-facial Center Inc NPPES

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

ORO-FACIAL CENTER INC (NPI 1457897928) is a healthcare organization registered as an oral & maxillofacial surgery in Tucker, Georgia and active in the NPI registry since January 2017. The organization lists James A Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1457897928
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameORO-FACIAL CENTER INC
Location Address3574 HABERSHAM AT NORTHLAKETucker, GA 30084-4009
Mailing Address3574 Habersham At NorthlakeTucker, GA 30084-4009 · (770) 934-2339
Phone(770) 934-2339
Organization SubpartNo
Authorized OfficialJames A DavisOwner · (770) 934-2339
Enumeration DateJanuary 9, 2017
✔ NPI 1457897928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
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.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
3574 HABERSHAM AT NORTHLAKE, Tucker, GA 30084
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oro-facial Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Oro-Facial Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

James Davis, DMD
Oral Surgery
NPI 1942414735
3574 HABERSHAM AT NORTHLAKE
Tucker, GA 30084
(770) 934-2339
✔ PECOS✔ Accepts MedicareSame address
Prajna Banan
Dentist
NPI 1952902272
10833 LE CONTE AVE RM A0-156A
Los Angeles, CA 90095
(310) 825-6510
✔ PECOS1,955 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oro-Facial Center Inc's NPI number?

The NPI number for Oro-Facial Center Inc is 1457897928. It was assigned to this organization in the NPPES registry on January 9, 2017.

Where is Oro-Facial Center Inc located?

Oro-Facial Center Inc is located at 3574 Habersham At Northlake, Tucker, GA 30084. The listed phone number is (770) 934-2339.

What is Oro-Facial Center Inc's specialty?

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

Is Oro-Facial Center Inc enrolled in Medicare?

Yes. Oro-Facial Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oro-Facial Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Oro-Facial Center Inc, in Dentist and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oro-Facial Center Inc was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.