ATLANTA ORAL & FACIAL SURGERY LLC
NPI 1992738165
Dentist - Oral and Maxillofacial Surgery in Marietta, GA
About Atlanta Oral & Facial Surgery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTA ORAL & FACIAL SURGERY LLC (NPI 1992738165) is a healthcare organization registered as an oral and maxillofacial surgery in Marietta, Georgia and active in the NPI registry since July 2006. The organization lists Dana Leach, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Atlanta Oral & Facial Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Atlanta Oral & Facial Surgery LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 33Source: 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 Atlanta Oral & Facial Surgery LLC's NPI number?
The NPI number for Atlanta Oral & Facial Surgery LLC is 1992738165. It was assigned to this organization in the NPPES registry on July 9, 2006.
Where is Atlanta Oral & Facial Surgery LLC located?
Atlanta Oral & Facial Surgery LLC is located at 1000 Johnson Ferry Rd Bldg H, Marietta, GA 30068. The listed phone number is (770) 977-0364.
What is Atlanta Oral & Facial Surgery LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Atlanta Oral & Facial Surgery LLC enrolled in Medicare?
Yes. Atlanta Oral & Facial Surgery LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlanta Oral & Facial Surgery LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 3 Medicare specialties reassign their Medicare billing to Atlanta Oral & Facial Surgery LLC. 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. The largest specialties are Maxillofacial Surgery (26), Oral Surgery (6) and Plastic and Reconstructive Surgery (1). Of these, 7 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Atlanta Oral & Facial Surgery LLC accept?
Health plans from UnitedHealthcare list Atlanta Oral & Facial Surgery LLC 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 Atlanta Oral & Facial Surgery LLC was last updated on March 1, 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.
# Atlanta Oral & Facial Surgery Llc · NPI 1992738165
Oral and Maxillofacial Surgery organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1992738165 (Entity type: Organization)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Dana Leach, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1000 JOHNSON FERRY RD, BLDG H, Marietta, GA 30068-2114
- **Phone:** (770) 977-0364 · **Fax:** (678) 483-8487
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Maxillofacial Surgery (26), Oral Surgery (6), Plastic and Reconstructive Surgery (1); 7 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1992738165/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992738165) · Data from the CMS NPPES public registry.