Oral an Implant Surgery Specialists, PC
NPI 1396094074 · Oral & Maxillofacial Surgery (D.M.D.) · Fayetteville, GA
Oral an Implant Surgery Specialists, PC is a Oral & Maxillofacial Surgery (D.M.D.) organization in Fayetteville, GA (NPI 1396094074).
Provider details
- NPI number
- 1396094074
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Durwood Johnson, Doctor(770) 461-2101
- License
- 007973 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2013-05-10
Frequently asked questions
- What is Oral an Implant Surgery Specialists, PC's NPI number?
- Oral an Implant Surgery Specialists, PC's National Provider Identifier (NPI) is 1396094074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral an Implant Surgery Specialists, PC?
- Oral an Implant Surgery Specialists, PC is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Oral an Implant Surgery Specialists, PC located?
- Oral an Implant Surgery Specialists, PC's practice location on file with NPPES is 1260 Highway 54 W, Fayetteville, GA 30214-4514.
- What is Oral an Implant Surgery Specialists, PC's phone number?
- The practice phone number listed in the NPPES registry for Oral an Implant Surgery Specialists, PC is (770) 461-2101.
- Who is the authorized official for Oral an Implant Surgery Specialists, PC?
- The authorized official listed on Oral an Implant Surgery Specialists, PC's NPPES record is Durwood Johnson, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral an Implant Surgery Specialists, PC's NPI active?
- Yes — Oral an Implant Surgery Specialists, PC's NPI (1396094074) is active in the NPPES registry as of the last update on 2013-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.