NPI age
2 years
Enumerated 2024-03-04
● Active Type 2 · Organization
Subpart
Atlanta Oral & Facial Surgery Llc
Atlanta Oral & Facial Surgery Llc 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
Hancock
Credentialing
Last NPPES update
2024-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
2 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-03Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1000 Johnson Ferry Rd Bldg H
Marietta, GA 300685518
Mailing address
121 Marble Mill Rd Nw Ste 203
Marietta, GA 300607959
Authorized official
Nancy Hancock
Credentialing
📞 7703560489
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Henry Blair, DMD Dentist NPI 1912165721
- Jorge Gonzalez-Ocasio, DMD Dentist NPI 1205192887
- Christopher Kragor, MD DMD Dentist NPI 1194082321
- John Labanc, D.D.S. Dentist NPI 1104819101
- Joshua Levy, DMD, MD Dentist NPI 1528401445
- Teresa Skinner Dental Assistant NPI 1487445029
- Jonathan Threadgill, D.M.D. Dentist NPI 1093881021
- Christopher Yi, DMD Dentist NPI 1528626124
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.
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Subpart of Atlanta Oral & Facial Surgery.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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