Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlanta Oral & Facial Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1164289377

Atlanta Oral & Facial Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Marietta, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Johnson Ferry Rd Bldg H
Marietta, GA 30068-5518
Phone: (770) 977-0364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1164289377
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAtlanta Oral & Facial Surgery
Authorized official Nancy Hancock — Credentialing · (770) 356-0489
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address121 Marble Mill Rd Nw Ste 203, Marietta, GA 30060-7959

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