NPI age
15 years
Enumerated 2010-06-24
● Active
Type 1 · Individual
DR. Shivane K Gupta, MD
Gupta is 1 of 1 oral & maxillofacial surgery providers in Lilburn and 1 of 48 in Georgia.
Primary specialty
Oral & Maxillofacial Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 48 active oral & maxillofacial surgery providers in Georgia.
NPI age
15 years
≈ at median (16 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
58% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Practice location
4150 Five Forks Trickum Rd Sw Ste 1
Lilburn, GA 300473130
Mailing address
4150 Five Forks Trickum Rd Sw Ste 1
Lilburn, GA 300473130
Specialties
-
Oral & Maxillofacial Surgery PrimaryOral 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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Provyx · Custom healthcare lists
Need all 48 Oral & Maxillofacial Surgery providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.