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SNELLVILLE ORAL SURGERY LLC
NPI 1487837423
Dentist - Oral and Maxillofacial Surgery in Snellville, GA

Active since December 13, 2007
2221 KNOLLWOOD DRIVE, SNELLVILLE, GA 30078(770) 972-7911(770) 978-3767 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Snellville Oral Surgery Llc NPPES

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

SNELLVILLE ORAL SURGERY LLC (NPI 1487837423) is a healthcare organization registered as an oral and maxillofacial surgery in Snellville, Georgia and active in the NPI registry since December 2007. The organization lists Dale Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1487837423
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSNELLVILLE ORAL SURGERY LLC
Location Address2221 KNOLLWOOD DRIVESnellville, GA 30078
Mailing Address2221 Knollwood DriveSnellville, GA 30078 · (770) 972-7911 · Fax (770) 978-3767
Phone(770) 972-7911
Fax(770) 978-3767
Organization SubpartNo
Authorized OfficialDale EllisOwner · (770) 972-7911
Enumeration DateDecember 13, 2007
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1487837423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in GA · 07968✔ Licensed in GA · DN012320
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.
2221 KNOLLWOOD DRIVE, Snellville, GA 30078
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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

Other Providers at the Same Location NPPES 2

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

DR. SAMMY DALE ELLIS DMD
Dentist (Oral and Maxillofacial Surgery)
2221 KNOLLWOOD DRIVE
SNELLVILLE, GA 30078
Gwinnett County (770) 972-7911
DR. JAMES EUGENE HADDAD JR. DMD
Dentist (Oral and Maxillofacial Surgery)
2221 KNOLLWOOD DRIVE
SNELLVILLE, GA 30078
Gwinnett County (770) 972-7911

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 Snellville Oral Surgery LLC's NPI number?

The NPI number for Snellville Oral Surgery LLC is 1487837423. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is Snellville Oral Surgery LLC located?

Snellville Oral Surgery LLC is located at 2221 Knollwood Drive, Snellville, GA 30078. The listed phone number is (770) 972-7911.

What is Snellville Oral Surgery LLC'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 Snellville Oral Surgery LLC was last updated on February 21, 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.