NPI age
— years
Enumerated 2025-08-14
● Active Type 2 · Organization
Subpart
Ga Oms Sds Pc
Ga Oms Sds Pc 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
Dasch
SR. Director Of Credentialing
Last NPPES update
2025-08-14
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
0 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-08Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1380 Peachtree Industrial Blvd Ste 100
Suwanee, GA 300243793
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 372091442
Authorized official
Charlotte Dasch
SR. Director Of Credentialing
📞 5046380303
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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Signature Dental Implants and Oral Surgery
Practice context
Single-site organization. Only one practice location on file.
Subpart of Ga Oms Sds Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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