OrganizationActive
Mountain View Oral Surgery & Dental Implants LLC
NPI 1104172741 · Oral and Maxillofacial Surgery (Dentist) · Marietta, GA
Provider details
- NPI number
- 1104172741
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mark Chishom, Oral Surgeon(770) 218-9135
- License
- DN014013 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
121 Marble Mill Rd Nw
Suite 202
Marietta, GA 30060-7959
Phone: (770) 218-9135
Fax: (866) 224-2735
Street-level locationGet directions
Mailing address
121 Marble Mill Rd Nw
Marietta, GA 30060-7959
Other names (DBA / former)
- Doing business as
- Mountain View Oral Surgery & Dental Implants
Registry dates
- Enumerated
- 2012-08-01
- Last updated
- 2012-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.