OrganizationActive
Associated Oral Specialites
NPI 1578098364 · Oral and Maxillofacial Surgery (Dentist) · Atlanta, GA
Provider details
- NPI number
- 1578098364
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Freddie Wakefield, Owner(770) 375-0375
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Practice location
5671 Peachtree Dunwoody Rd
Suite 420
Atlanta, GA 30342-5000
Phone: (770) 375-0375
Approximate (ZIP-level) locationGet directions
Mailing address
5671 Peachtree Dunwoody Rd
Atlanta, GA 30342-5000
Registry dates
- Enumerated
- 2017-04-29
- Last updated
- 2017-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.