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

East Atlanta Oral, Implant and Facial Surgery Center

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1245721216

East Atlanta Oral, Implant and Facial Surgery Center is an Oral and Maxillofacial Surgery (Dentist) in Atlanta, Georgia. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

519 Memorial Dr SE Unit D1
Atlanta, GA 30312-2218
Phone: (404) 483-6316
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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 number1245721216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Tarver — Owner · (770) 382-3536
NPI enumeratedMay 24, 2018
Last updated in NPPESMay 24, 2018
Mailing address2115 Wolbert Trl, Marietta, GA 30062-7908

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