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Southwest Maxillofacial Surgery & Implant Center
Oral and Maxillofacial Surgery (Dentist) in Atlanta, Georgia
NPI 1073743795

Southwest Maxillofacial Surgery & Implant Center is a Oral and Maxillofacial Surgery (Dentist) based in Atlanta, GA and is specialized in Oral and Maxillofacial Surgery. Southwest Maxillofacial Surgery & Implant Center practices in Atlanta, GA. The NPI Number for Southwest Maxillofacial Surgery & Implant Center is 1073743795 and holds a License No. DN013463 (Georgia).

The current practice location address for Southwest Maxillofacial Surgery & Implant Center is 3885 Princeton Lakes Way Sw, Atlanta, GA and can be reached out via phone at 404-629-6610 and via fax at 404-629-6630.

Location: 3885 Princeton Lakes Way Sw, Atlanta, GA, 30331-5589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073743795
Provider Name
Southwest Maxillofacial Surgery & Implant Center
Credential
Provider Entity Type
Organization
Address
3885 Princeton Lakes Way Sw, Atlanta, GA, 30331-5589
Phone Number
404-629-6610
Fax Number
404-629-6630
Provider Enumeration Date
07/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
457061566A 05 GA
institution
Provider Business Practice Location Address Details
Address
3885 Princeton Lakes Way Sw
City
Atlanta
State
Georgia
Zip
30331-5589
Phone Number
404-629-6610
Fax Number
404-629-6630
person
Provider Business Mailing Address Details
Address
3885 Princeton Lakes Way Sw
City
Atlanta
State
Georgia
Zip
30331-5589
Phone Number
404-629-6610
Fax Number
404-629-6630
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN013463 (Georgia)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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