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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
012148 | GA | Dental Providers |
Street Address |
4508 HOLLY SPGS PKWY STE 1 |
City | CANTON |
State | GA |
Zip Code | 30115-7842 |
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 Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
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 |
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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.