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ORAL AND FACIAL SURGERY ASSOCIATES, PC
NPI 1699780163
Oral & Maxillofacial Surgery in Lawrenceville, GA

Active since July 30, 2006
745 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045(770) 962-9515(770) 962-2722 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Oral And Facial Surgery Associates, Pc NPPES

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

ORAL AND FACIAL SURGERY ASSOCIATES, PC (NPI 1699780163) is a healthcare organization registered as an oral & maxillofacial surgery in Lawrenceville, Georgia and active in the NPI registry since July 2006. The organization maintains 2 additional practice locations and lists Robert E Ellis, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1699780163
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameORAL AND FACIAL SURGERY ASSOCIATES, PC
Location Address745 OLD NORCROSS RDLawrenceville, GA 30045-4317
Mailing Address745 Old Norcross RdLawrenceville, GA 30045-4317 · (770) 962-9515 · Fax (770) 962-2722
Phone(770) 962-9515
Fax(770) 962-2722
Organization SubpartNo
Authorized OfficialRobert E EllisManaging Partner · (770) 962-9515
Enumeration DateJuly 30, 2006
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1699780163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in GA · DN009242
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.
745 OLD NORCROSS RD, Lawrenceville, GA 30045
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Secondary Practice Locations 2

Location 14470 Commerce Dr Ste ABuford, GA 30518-7510 · Phone (678) 714-5109 · Fax (770) 962-2250
Location 21215 Tuscany Dr Ste ABraselton, GA 30517-3488 · Phone (770) 962-2226 · Fax (678) 975-7862

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral And Facial Surgery Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Oral And Facial Surgery Associates, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jess Gardner, DMD, MD
Maxillofacial Surgery
NPI 1366451403
745 OLD NORCROSS RD
Lawrenceville, GA 30045
(770) 962-9515
✔ PECOS✔ Accepts MedicareSame address
Sandeep Pathak, DMD, MD
Oral Surgery
NPI 1144239203
745 OLD NORCROSS RD
Lawrenceville, GA 30045
(770) 962-9515
✔ PECOS✔ Accepts MedicareSame address
Patrick Walker, DMD
Maxillofacial Surgery
NPI 1699937367
1120 15TH ST
Augusta, GA 30912
(706) 721-2251
✔ PECOS✔ Accepts Medicare121 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 Oral And Facial Surgery Associates, PC's NPI number?

The NPI number for Oral And Facial Surgery Associates, PC is 1699780163. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Oral And Facial Surgery Associates, PC located?

Oral And Facial Surgery Associates, PC is located at 745 Old Norcross Rd, Lawrenceville, GA 30045. The listed phone number is (770) 962-9515.

What is Oral And Facial Surgery Associates, PC's specialty?

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

Is Oral And Facial Surgery Associates, PC enrolled in Medicare?

Yes. Oral And Facial Surgery Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral And Facial Surgery Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Oral And Facial Surgery Associates, PC, in Maxillofacial Surgery 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oral And Facial Surgery Associates, PC 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 And Facial Surgery Associates, PC 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 And Facial Surgery Associates, PC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.