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

Peachtree Oral & Maxillofacial Surgery Associates

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1063471324

Peachtree Oral & Maxillofacial Surgery Associates is an Oral and Maxillofacial Surgery (Dentist) in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006

Practice location Address checks out

550 Pharr Rd NE Ste 325
Atlanta, GA 30305-3428
Phone: (404) 233-8221
Fax: (404) 233-5783
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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 · Licence 010603 (GA)

Record details

NPI number1063471324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Marks — President · (404) 233-8221
NPI enumeratedMarch 23, 2006
Last updated in NPPESNovember 15, 2016
Mailing address550 Pharr Rd Ne, Suite 325, Atlanta, GA 30305-3428

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