OrganizationActive
East Atlanta Oral, Implant and Facial Surgery Center
NPI 1245721216 · Oral and Maxillofacial Surgery (Dentist) · Atlanta, GA
Provider details
- NPI number
- 1245721216
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jeremy Tarver, Owner(770) 382-3536
Specialties & taxonomies
Dental Providers
Practice location
519 Memorial Dr Se Unit D1
Atlanta, GA 30312-2218
Phone: (404) 483-6316
Approximate (ZIP-level) locationGet directions
Mailing address
2115 Wolbert Trl
Marietta, GA 30062-7908
Registry dates
- Enumerated
- 2018-05-24
- Last updated
- 2018-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.