OrganizationActive
Oral and Facial Surgery Associates, PC
NPI 1699780163 · Oral & Maxillofacial Surgery (D.M.D.) · Lawrenceville, GA
Provider details
- NPI number
- 1699780163
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Ellis, Managing Partner(770) 962-9515
- License
- DN009242 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
745 Old Norcross Rd
Lawrenceville, GA 30045-4317
Phone: (770) 962-9515
Fax: (770) 962-2722
Approximate (ZIP-level) locationGet directions
Mailing address
745 Old Norcross Rd
Lawrenceville, GA 30045-4317
Additional practice locations (2)
- 1215 Tuscany Dr Ste aBraselton, GA 30517-3488Phone: (770) 962-2226Fax: (678) 975-7862
- 4470 Commerce Dr Ste aBuford, GA 30518-7510Phone: (678) 714-5109Fax: (770) 962-2250
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.