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DR. LAWRENCE MATTHEW MARRA DDS NPI 1841306909


NPI Information

NPI: 1841306909
Provider Name: DR. LAWRENCE MATTHEW MARRA, DDS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
3965 HOLCOMB BRIDGE ROAD
SUITE 102
NORCROSS, GA
ZIP 30092
Phone: (770) 448-1188
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DR. Lawrence Matthew Marra, DDS is an oral maxillofacial surgery in Norcross, GA. The provider is oral 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 to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Lawrence Matthew Marra, DDS NPI is 1841306909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3965 HOLCOMB BRIDGE ROAD
SUITE 102
NORCROSS, GA
ZIP 30092
Phone: (770) 448-1188
Fax: (770) 448-0179

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/8/2007.


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
1204E00000XOral & Maxillofacial Surgery09517GEORGIAYes

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
119NCBFLMEDICARE UPIN
2UZ0043MEDICARE ID-TYPE UNSPECIFIED

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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