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

Mount Vernon Oral Surgery LLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1073430724

Mount Vernon Oral Surgery LLC is an Oral and Maxillofacial Surgery Clinic/Center in Atlanta, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1505 Mount Vernon Rd Ste 150
Atlanta, GA 30338-4158
Phone: (770) 284-4406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1073430724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Chaliff — Managing Member · (770) 284-4406
Other names Perimeter Implant And Oral Surgery
NPI enumeratedJuly 2, 2026
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address3714 Westbrooke Cir Ne, Brookhaven, GA 30319-4808

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