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

Northwest Oral & Maxillofacial Surgery Associates, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1194732735

Northwest Oral & Maxillofacial Surgery Associates, PC is an Oral and Maxillofacial Surgery (Dentist) in Marietta, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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

55 Whitcher St NE Ste 140
Marietta, GA 30060-1155
Phone: (770) 422-7630
Fax: (770) 422-6017
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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 number1194732735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Davila — President · (770) 422-7630
NPI enumeratedAugust 2, 2006
Last updated in NPPESJune 22, 2015
Mailing address55 Whitcher St Ne, Suite 140, Marietta, GA 30060-1155

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