OrganizationActive
Creekside Oral Surgery Inc
NPI 1992586143 · Oral and Maxillofacial Surgery (Dentist) · Johns Creek, GA
Provider details
- NPI number
- 1992586143
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Nkemakonam Egolum, Owner(770) 764-0840
Specialties & taxonomies
Dental Providers
Practice location
10700 Medlock Bridge Rd Ste 204
Johns Creek, GA 30097-8455
Phone: (770) 764-0840
Approximate (ZIP-level) locationGet directions
Mailing address
10700 Medlock Bridge Rd Ste 204
Johns Creek, GA 30097-8455
Registry dates
- Enumerated
- 2023-10-12
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.