OrganizationActive
Advanced Oral and Maxillofacial Surgery PC
NPI 1952363442 · Oral & Maxillofacial Surgery (D.M.D.) · Marietta, GA
Provider details
- NPI number
- 1952363442
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Brunner, President(770) 321-0257
- License
- 053375 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3535 Roswell Rd
Suite 27
Marietta, GA 30062-8826
Phone: (770) 321-0257
Fax: (770) 321-0346
Approximate (ZIP-level) locationGet directions
Mailing address
3535 Roswell Rd
Marietta, GA 30062-8826
Other names (DBA / former)
- Doing business as
- East Cobb Oral Surgery
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2016-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.