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

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1366208431

Ga Specialty Dental Services, PC is an Oral and Maxillofacial Surgery (Dentist) in Suwanee, Georgia. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4355 Johns Creek Pkwy Ste 530
Suwanee, GA 30024-9100
Phone: (770) 495-9193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1380 Peachtree Industrial Blvd Ste 100, Suwanee, GA 30024-3793 — (770) 232-1191

Specialties & licences

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

Record details

NPI number1366208431
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGa Specialty Dental Services, PC
Authorized official Charlotte Dasch — Director Of Credentialing &Pr · (504) 638-0303
Other names Signature Dental Implants And Oral Surgery
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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