NPI age
16 years
Enumerated 2009-07-15
● Active Type 2 · Organization
Southwest Maxillofacial Surgery & Implant Center
Southwest Maxillofacial Surgery & Implant Center is 1 of 358 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gordon
President
Last NPPES update
2009-07-15
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
16 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
3885 Princeton Lakes Way Sw, 406
Atlanta, GA 303315589
Mailing address
3885 Princeton Lakes Way Sw, 406
Atlanta, GA 303315589
Authorized official
Jacques Leonel Gordon, DMD
President
📞 4046296610
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Jacques Gordon, DMD Dentist NPI 1881729820
- Pickens Patterson, MD Pain Medicine NPI 1316926058
- Lisa Perry-Gilkes, M.D. Otolaryngology NPI 1811989478
- Phaedra Simmons, CRNA Nurse Anesthetist, Certified Registered NPI 1659650372
- Charis Trench-Simmons, M.D. Obstetrics & Gynecology NPI 1245490085
Specialties
-
Dentist PrimaryThe 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 457061566A |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.