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

Creekside Oral Surgery Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1992586143

Creekside Oral Surgery Inc is an Oral and Maxillofacial Surgery (Dentist) in Johns Creek, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10700 Medlock Bridge Rd Ste 204
Johns Creek, GA 30097-8455
Phone: (770) 764-0840
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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 number1992586143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nkemakonam Egolum — Owner · (770) 764-0840
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address10700 Medlock Bridge Rd Ste 204, Johns Creek, GA 30097-8455

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