Southwest Maxillofacial Surgery & Implant Center
Southwest Maxillofacial Surgery & Implant Center is an Oral and Maxillofacial Surgery (Dentist) in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2009.
- Licensed in
- GA
- In the registry since
- 2009
Practice location Address checks out
3885 Princeton Lakes Way SW 406Atlanta, GA 30331-5589
Phone: (404) 629-6610
Fax: (404) 629-6630
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence DN013463 (GA) |
|---|
Record details
| NPI number | 1073743795 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacques Gordon — President · (404) 629-6610 |
| NPI enumerated | July 15, 2009 |
| Last updated in NPPES | July 15, 2009 |
| Mailing address | 3885 Princeton Lakes Way Sw, 406, Atlanta, GA 30331-5589 |
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