1. Home
  2. Directory
  3. Georgia
  4. Suwanee
  5. Dentist
  6. NPI Profile

GA OMS SDS PC
NPI 1497631378
Dentist - Oral and Maxillofacial Surgery in Suwanee, GA

Active since August 14, 2025
1380 PEACHTREE INDUSTRIAL BLVD STE 100, SUWANEE, GA 30024(770) 232-1191 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ga Oms Sds Pc NPPES

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

GA OMS SDS PC (NPI 1497631378) is a healthcare organization registered as an oral and maxillofacial surgery in Suwanee, Georgia and active in the NPI registry since August 2025. The organization lists Charlotte Dasch, Sr. Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1497631378
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGA OMS SDS PC
Location Address1380 PEACHTREE INDUSTRIAL BLVD STE 100Suwanee, GA 30024-3793
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (504) 638-0303
Phone(770) 232-1191
Organization SubpartNo
Authorized OfficialCharlotte DaschSr. Director Of Credentialing · (504) 638-0303
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1497631378 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.
1380 PEACHTREE INDUSTRIAL BLVD STE 100, Suwanee, GA 30024
Open in Google Maps ↗

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.

GA OMS SDS PC
Dentist (Oral and Maxillofacial Surgery)
1380 PEACHTREE INDUSTRIAL BLVD STE 100
SUWANEE, GA 30024
Gwinnett County (770) 232-1191

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 Oms Sds PC's NPI number?

The NPI number for Ga Oms Sds PC is 1497631378. It was assigned to this organization in the NPPES registry on August 14, 2025.

Where is Ga Oms Sds PC located?

Ga Oms Sds PC is located at 1380 Peachtree Industrial Blvd Ste 100, Suwanee, GA 30024. The listed phone number is (770) 232-1191.

What is Ga Oms Sds 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 Oms Sds PC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.