NORTH GEORGIA ORAL AND FACIAL SURGERY LLC
NPI 1558115485
Dentist - Oral and Maxillofacial Surgery in Duluth, GA

Active since April 16, 2024
3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C, DULUTH, GA 30096(770) 476-8576 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Georgia Oral And Facial Surgery Llc NPPES

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

NORTH GEORGIA ORAL AND FACIAL SURGERY LLC (NPI 1558115485) is a healthcare organization registered as an oral and maxillofacial surgery in Duluth, Georgia and active in the NPI registry since April 2024. The organization lists Ramani Gowducheruvu, Owner-oral And Maxillofacial Surgeo, as its authorized official.

NPPES Registry Identity

NPI1558115485
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORTH GEORGIA ORAL AND FACIAL SURGERY LLC
Location Address3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND CDuluth, GA 30096
Mailing Address5198 Dinant DrJohns Creek, GA 30022-6532 · (248) 914-1691
Organization SubpartNo
Authorized OfficialRamani GowducheruvuOwner-oral And Maxillofacial Surgeo · (248) 914-1691
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
NPI 1558115485 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.
3400 MCCLURE BRIDGE RD, Duluth, GA 30096

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 17

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

Clinic/Center (Methadone)
3400 MCCLURE BRIDGE RD, BUILDING C, SUIT A&B
DULUTH, GA 30096
Clinic/Center (Health Service)
3400 MCCLURE BRIDGE RD, BLDG F, STE A
DULUTH, GA 30096
Specialist
3400 MCCLURE BRIDGE RD, SUITE D401
DULUTH, GA 30096
Dentist (Oral and Maxillofacial Surgery)
3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C
DULUTH, GA 30096
Surgery
3400 MCCLURE BRIDGE RD, BUILDING B201
DULUTH, GA 30096
Physician Assistant (Surgical)
3400 MCCLURE BRIDGE RD, BUILDING B
DULUTH, GA 30096
Physician Assistant (Surgical)
3400 MCCLURE BRIDGE RD, B201
DULUTH, GA 30096
Health Maintenance Organization
3400 MCCLURE BRIDGE RD, BUILDING C-301
DULUTH, GA 30096

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 North Georgia Oral And Facial Surgery LLC's NPI number?

The NPI number for North Georgia Oral And Facial Surgery LLC is 1558115485. It was assigned to this organization in the NPPES registry on April 16, 2024.

Where is North Georgia Oral And Facial Surgery LLC located?

North Georgia Oral And Facial Surgery LLC is located at 3400 Mcclure Bridge Rd Bldg G, Suites B And C, Duluth, GA 30096. The listed phone number is (770) 476-8576.

What is North Georgia Oral And Facial 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 North Georgia Oral And Facial Surgery LLC was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.