NPI age
7 years
Enumerated 2019-02-21
● Active Type 2 · Organization
Northside Oral Surgery Center Llc
Northside Oral Surgery Center 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
Cole
Vp Insurance Plan Management
Last NPPES update
2019-02-21
Source: monthly bulk 2026-05
How this organization compares
Across 358 active dentist providers in Georgia.
NPI age
7 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-02Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
4700 Chamblee Dunwoody Rd
Atlanta, GA 303386054
Mailing address
4700 Chamblee Dunwoody Rd
Atlanta, GA 303386054
Authorized official
Mike Cole
Vp Insurance Plan Management
📞 9419553150
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
Single-site organization. Only one practice location on file.
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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.