ORAL AN IMPLANT SURGERY SPECIALISTS, PC – NPI #1396094074
Oral & Maxillofacial Surgery

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.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

ORAL AN IMPLANT SURGERY SPECIALISTS, PC is an oral & maxillofacial surgeon located in FAYETTEVILLE, GA. NPPES has assigned the NPI number 1396094074 to ORAL AN IMPLANT SURGERY SPECIALISTS, PC on September 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 13 years ago on May 10, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ORAL AN IMPLANT SURGERY SPECIALISTS, PC below.

NPI Profile for
ORAL AN IMPLANT SURGERY SPECIALISTS, PC

NPI Number
1396094074
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORAL AN IMPLANT SURGERY SPECIALISTS, PC
Primary location
1260 HIGHWAY 54 W
SUITE 200
FAYETTEVILLE, GA 30214-4514
Phone: (770) 461-2101 Fax: (770) 460-1292
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DURWOOD JOHNSON
DOCTOR
Phone: (770) 461-2101
Updated
Identifiers

Identifiers for ORAL AN IMPLANT SURGERY SPECIALISTS, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000189351B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)		 GA 007973

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.