| North Metro Oral & Maxillofacial Surgery, Llc | |
|
4508 Holly Spgs Pkwy Ste 1 Canton GA 30115-7842 | |
| (770) 345-8118 | |
| (770) 345-7219 |
| Full Name | North Metro Oral & Maxillofacial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4508 Holly Spgs Pkwy, Canton, Georgia |
| Authorized Official Name and Position | John W. Carey (PRESIDENT/ORAL SURGEON) |
| Authorized Official Contact | 7703458118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Metro Oral & Maxillofacial Surgery, Llc 4508 Holly Spgs Pkwy Ste 1 Canton GA 30115-7842 Ph: (770) 345-8118 | North Metro Oral & Maxillofacial Surgery, Llc 4508 Holly Spgs Pkwy Ste 1 Canton GA 30115-7842 Ph: (770) 345-8118 |
| NPI Number | 1336435726 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336435726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 012148 (Georgia) | Primary |
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