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NORTH GEORGIA CENTER FOR CORRECTIVE JAW SURGERY P.C. NPI 1124287552


NPI Information

NPI: 1124287552
Provider Name: NORTH GEORGIA CENTER FOR CORRECTIVE JAW SURGERY, P.C.

Doing Business As: CALHOUN ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1107 MEMORIAL DR
STE. 101
DALTON, GA
ZIP 30720
Phone: (706) 277-9393
Get Directions

NORTH GEORGIA CENTER FOR CORRECTIVE JAW SURGERY, P.C. is an oral and maxillofacial surgery dentist in Dalton, GA. The provider is an oral and maxillofacial surgery dentist specialized in 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. NORTH GEORGIA CENTER FOR CORRECTIVE JAW SURGERY, P.C. NPI is 1124287552. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Calhoun Oral Surgery.

The provider's business location address is:

1107 MEMORIAL DR
STE. 101
DALTON, GA
ZIP 30720-662
Phone: (706) 277-9393
Fax: (706) 277-9628

The provider's authorized official is Misty Dawn James .
The authorized official title is Practice Manager and has the following contact phone number (706) 277-9393.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 6/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery011433GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19180202OTHERGEORGIADORAL DENTAL
2954599OTHERGEORGIAUNITED CONCORDIA
3000678917AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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