NPI age
2 years
Enumerated 2023-10-12
● Active Type 2 · Organization
Creekside Oral Surgery Inc
Creekside Oral Surgery Inc 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
Egolum
Owner
Last NPPES update
2023-10-12
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 · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
10700 Medlock Bridge Rd Ste 204
Johns Creek, GA 300978455
Mailing address
10700 Medlock Bridge Rd Ste 204
Johns Creek, GA 300978455
Authorized official
Nkemakonam Egolum, DDS
Owner
📞 7707640840
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Nkemakonam Egolum, DDS Dentist NPI 1992142806
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. 1 individual provider 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.