| Georgia Oral Surgical Institute Llc | |
|
21 John Maddox Dr Nw Rome GA 30165-1413 | |
| (706) 234-0718 | |
| (706) 290-9577 |
| Full Name | Georgia Oral Surgical Institute Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 21 John Maddox Dr Nw, Rome, Georgia |
| Authorized Official Name and Position | Chris S Kim (HEALTHCARE PROVIDER) |
| Authorized Official Contact | 8587400706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Oral Surgical Institute Llc 6797 Prelude Dr Sandy Springs GA 30328-2978 Ph: (858) 740-0706 | Georgia Oral Surgical Institute Llc 21 John Maddox Dr Nw Rome GA 30165-1413 Ph: (706) 234-0718 |
| NPI Number | 1972420347 |
|---|---|
| Provider Enumeration Date | 07/06/2026 |
| Last Update Date | 07/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972420347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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