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

Northside Oral Surgery Center LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1891252227

Northside Oral Surgery Center LLC is an Oral and Maxillofacial Surgery (Dentist) in Atlanta, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

4700 Chamblee Dunwoody Rd
Atlanta, GA 30338-6054
Phone: (770) 393-8500
Fax: (770) 393-8855
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

Record details

NPI number1891252227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Johnson — Cro · (941) 444-0558
NPI enumeratedFebruary 21, 2019
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address4700 Chamblee Dunwoody Rd, Atlanta, GA 30338-6054

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