Stephen Anthony Bankston (NPI# 1235133661, PAC ID# 0143415638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1235133661 |
| PAC ID by PECOS | 0143415638 |
| Professional Enrollment ID | I20101110000338 |
| Full Name | Stephen Anthony Bankston |
| Organization Legal Name | ATLANTA ORAL AND FACIAL SURGERY LLC |
| Address |
1000 Johnson Ferry Rd H Marietta GA 30068-5518 |
| Phone Number | 7709770364 |
| Gender | M |
| Medical School | UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 8628062387 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 200 Galleria Sepkwy, Suite 1810, Atlanta, GA 30339-5946 | 7709567577 | ATLANTA ORAL AND FACIAL SURGERY LLC |
| 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 | 7709770364 | ATLANTA ORAL AND FACIAL SURGERY LLC |
| Organization Legal Name | ATLANTA ORAL AND FACIAL SURGERY LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Carl Wunderle | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Paul J Schaner Ii | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 3405 Dallas Hwy, Bldg 900, Marietta, GA 30064 |
| Jonathan M.c. Threadgill | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| John P Labanc | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Steven Jule Levy | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Chris Jo | Oral Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Louis Sheldon Belinfante | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Martin R Velez | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 3400 Old Milton Pkwy, C525, Alpharetta, GA 30005-4486 |
| Robert K Mcghee | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Christopher Hugh Kragor | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Street Address |
1000 JOHNSON FERRY RD H |
| City | MARIETTA |
| State | GA |
| Zip | 30068-5518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Carl Wunderle | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| John P Labanc | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Steven Jule Levy | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Chris Jo | Oral Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Louis Sheldon Belinfante | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Robert K Mcghee | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Thomas J David | Oral Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Abtin Etezadi-tabrizi | Oral Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Robert C Wunderle Iii | Oral Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Durwood M Johnson Jr. | Oral Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd H, Marietta, GA 30068-5518 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Biga | Physical Therapy | 1230 Johnson Ferry Pl, H20, Marietta, GA 30068-2057 | |
| Sinan N Feidy | Chiropractic | 1230 Johnson Ferry Pl, Suite G30, Marietta, GA 30068-2058 | |
| Elbert H Cardwell | Chiropractic | 1230 Johnson Ferry Pl, G30, Marietta, GA 30068-2058 | |
| Nicole L Mosley | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Christie E Parker | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 4360 Johnson Ferry Pl, Marietta, GA 30068-2063 |
| Jonathan M.c. Threadgill | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Christopher Hugh Kragor | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Joseph W Slaughter | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Jorge A Gonzalez-ocasio | Maxillofacial Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Donald Ray Nunn | Plastic and Reconstructive Surgery | Atlanta Oral and Facial Surgery LLC | 1000 Johnson Ferry Rd, Building H, Marietta, GA 30068-2100 |
| Find all physicians in zip 30068 | |||
| City | MARIETTA |
| Zip Code | 30068 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | MARIETTA + MAXILLOFACIAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.