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

Mountain View Oral Surgery & Dental Implants LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1104172741

Mountain View Oral Surgery & Dental Implants LLC is an Oral and Maxillofacial Surgery (Dentist) in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

121 Marble Mill Rd NW Ste 202
Marietta, GA 30060-7959
Phone: (770) 218-9135
Fax: (866) 224-2735
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 · Licence DN014013 (GA)

Record details

NPI number1104172741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Chishom — Oral Surgeon · (770) 218-9135
Other names Mountain View Oral Surgery & Dental Implants
NPI enumeratedAugust 1, 2012
Last updated in NPPESAugust 1, 2012
Mailing address121 Marble Mill Rd Nw, Suite 202, Marietta, GA 30060-7959

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