NORTH METRO ORAL & MAXILLOFACIAL SURGERY, LLC


Address: 4508 Holly Spgs Pkwy, Ste 1, Canton, GA 30115-7842
Phone: 7703458118

NORTH METRO ORAL & MAXILLOFACIAL SURGERY, LLC (NPI# 1336435726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336435726
Entity Type Organization
Organization Name NORTH METRO ORAL & MAXILLOFACIAL SURGERY, LLC
Practice Address 4508 Holly Spgs Pkwy
Ste 1
Canton
GA 30115-7842
Practice Telephone 7703458118
Practice Fax Number 7703457219
Mailing Telephone 7703458118
Mailing Fax Number 7703457219
Enumeration Date 2011-06-23
Last Update Date 2013-08-22
Authorized Official Name DR. JOHN W. CAREY (PRESIDENT/ORAL SURGEON)
Authorized Official Telephone 7703458118
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
012148 GA Dental Providers

Office Location

Street Address 4508 HOLLY SPGS PKWY
STE 1
City CANTON
State GA
Zip Code 30115-7842

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
Find all providers in zip 30115

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346643749 Emil D. Poporad, Dds Dentist 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 2014-09-30
1659697670 Ashley Gibbs Zerweck Dentist 4124 Fulton Dr Nw Ste 102, Canton, OH 44718-2852 2010-04-15
1013050913 Gerard J Bruno Dentist 4573 Everhard Rd Nw, Canton, OH 44718-2406 2007-02-14
1770650848 John W Carey Dentist 4508 Holly Sprgs Pkwy, Ste 1, Canton, GA 30115-7842 2006-11-30
1205911864 David C Ash Dentist 4718 Holiday St. N.w., Canton, OH 44718 2006-10-25
1831164466 Joe L Carpenter Dentist 4774 Munson St. Nw, Suite 102, Canton, OH 44718 2006-02-17
1689647018 Institute of Jaw and Facial Surgery Inc Dentist 4181 Holiday St Nw, Canton, OH 44718-2531 2006-02-08
1386625341 Bernard Joseph Johnson Dentist 4368 Dressler Rd Nw, Canton, OH 44718-2771 2005-11-08
1083253801 Ashley Gibbs Zerweck Dmd Inc. Dentist 4124 Fulton Dr Nw Ste 102, Canton, OH 44718-2852 2019-12-26
1013366525 Brookline Oral Surgery Group LLC Dentist 500 Chapman St, Suite 201, Canton, MA 02021-2093 2016-06-06
Find all providers in CANTON

Competitor

Search similar providers

City CANTON
Zip Code 30115

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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