NPI 1134682859
North Atlanta Oral and Maxillofacial Surgery
Practice location
- Address
- 2555 Westside Pkwy STE 350, Alpharetta, GA 30004-4191
- Phone
- (770) 664-6533
- Mailing address
- 3275 Market Place Blvd STE 175, Cumming, GA 30041-7981
Authorised official
- Name
- Pam Jeademann
- Title
- Practice Administrator
- Phone
- (770) 664-6533
Registered specialties (2)
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Oral and Maxillofacial Surgery Clinic/Center
Registry record
- NPI
- 1134682859
- Entity type
- Organization
- NPI issued
- 9 Apr 2019
- Record last updated
- 9 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.