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Dr. Shivane K Gupta, MD
Oral & Maxillofacial Surgery (D.M.D.) in Lilburn, Georgia
NPI 1295046399

Shivane K Gupta is a Oral & Maxillofacial Surgery (D.M.D.) based in Lilburn, GA. Shivane K Gupta practices in Lilburn, GA and has the professional credentials of MD. The NPI Number for Shivane K Gupta is 1295046399 and holds a License No. 078309 (Georgia).

The current practice location address for Shivane K Gupta is 4150 Five Forks Trickum Rd Sw Ste 1, Lilburn, GA and can be reached out via phone at 770-717-7225 and via fax at 770-717-7228.

Location: 4150 Five Forks Trickum Rd Sw Ste 1, Lilburn, GA, 30047-3130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295046399
Provider Name
Shivane K Gupta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4150 Five Forks Trickum Rd Sw Ste 1, Lilburn, GA, 30047-3130
Phone Number
770-717-7225
Fax Number
770-717-7228
Provider Enumeration Date
06/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4150 Five Forks Trickum Rd Sw Ste 1
City
Lilburn
State
Georgia
Zip
30047-3130
Phone Number
770-717-7225
Fax Number
770-717-7228
person
Provider Business Mailing Address Details
Address
4150 Five Forks Trickum Rd Sw Ste 1
City
Lilburn
State
Georgia
Zip
30047-3130
Phone Number
770-717-7225
Fax Number
770-717-7228
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
078309 (Georgia)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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