OrganizationActive
Atlanta Oral & Facial Surgery LLC
NPI 1992738165 · Oral and Maxillofacial Surgery (Dentist) · Marietta, GA
Provider details
- NPI number
- 1992738165
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Dana Leach, Chief Financial Officer(770) 977-0364
Specialties & taxonomies
Dental Providers
Practice location
1000 Johnson Ferry Rd
Bldg H
Marietta, GA 30068-2114
Phone: (770) 977-0364
Fax: (678) 483-8487
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Johnson Ferry Rd
Marietta, GA 30068-2114
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.