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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NORTHSIDE ORAL SURGERY CENTER LLC
NPI 1891252227
Dentist - Oral and Maxillofacial Surgery in Atlanta, GA

Active since February 21, 2019
4700 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338(770) 393-8500(770) 393-8855 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Feb 21, 2019 (2 updates tracked since 2019).

About Northside Oral Surgery Center Llc NPPES

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

NORTHSIDE ORAL SURGERY CENTER LLC (NPI 1891252227) is a healthcare organization registered as an oral and maxillofacial surgery in Atlanta, Georgia and active in the NPI registry since February 2019. The organization lists Victoria Johnson, Cro, as its authorized official.

NPPES Registry Identity

NPI1891252227
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORTHSIDE ORAL SURGERY CENTER LLC
Location Address4700 CHAMBLEE DUNWOODY RDAtlanta, GA 30338-6054
Mailing Address4700 Chamblee Dunwoody RdAtlanta, GA 30338-6054 · (770) 393-8500
Phone(770) 393-8500
Fax(770) 393-8855
Organization SubpartNo
Authorized OfficialVictoria JohnsonCro · (941) 444-0558
Enumeration DateFebruary 21, 2019
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1891252227 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.
4700 CHAMBLEE DUNWOODY RD, Atlanta, GA 30338
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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 4

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

MAXJCOHEN, D.D.S., P.C.
Clinic/Center (Dental)
4700 CHAMBLEE DUNWOODY RD, SUITE #100
DUNWOODY, GA 30338
Dekalb County (770) 457-1351
JASON R. ROBERT KAPLAN DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4700 CHAMBLEE DUNWOODY RD, SUITE 300
DUNWOODY, GA 30338
Dekalb County (770) 458-5561
DR. SANDRA LYNN COHEN D.D.S.
Dentist (General Practice)
4700 CHAMBLEE DUNWOODY RD, SUITE 200
DUNWOODY, GA 30338
Dekalb County (770) 457-1351
DAVID GEORGE GOODCHILD JR. DMD
Dentist (General Practice)
4700 CHAMBLEE DUNWOODY RD, 200
DUNWOODY, GA 30338
Dekalb County (770) 457-5848

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 Northside Oral Surgery Center LLC's NPI number?

The NPI number for Northside Oral Surgery Center LLC is 1891252227. It was assigned to this organization in the NPPES registry on February 21, 2019.

Where is Northside Oral Surgery Center LLC located?

Northside Oral Surgery Center LLC is located at 4700 Chamblee Dunwoody Rd, Atlanta, GA 30338. The listed phone number is (770) 393-8500.

What is Northside Oral Surgery Center 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 Northside Oral Surgery Center LLC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.