| Oral Surgery Associates & Dental Implant Center Pc | |
|
1463 Klondike Rd Ste C Conyers GA 30094 | |
| (770) 483-9692 | |
| (678) 487-1004 |
| Full Name | Oral Surgery Associates & Dental Implant Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 1463 Klondike Rd, Conyers, Georgia |
| Authorized Official Name and Position | Susan Hoy (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7704839692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates & Dental Implant Center Pc 1463 Klondike Rd Ste C Conyers GA 30094 Ph: (770) 483-9692 | Oral Surgery Associates & Dental Implant Center Pc 1463 Klondike Rd Ste C Conyers GA 30094 Ph: (770) 483-9692 |
| NPI Number | 1003924788 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 01/04/2011 |
| Medicare PECOS PAC ID | 9537154968 |
|---|---|
| Medicare Enrollment ID | O20040416000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003924788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Steven D Pollack |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366550063 PECOS PAC ID: 4688715477 Enrollment ID: I20091230000279 |
| Provider Name | Gordon L Brady |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619085396 PECOS PAC ID: 3173660248 Enrollment ID: I20110126000179 |
| Provider Name | Richard S. Singer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750499414 PECOS PAC ID: 9537206602 Enrollment ID: I20110203000174 |
| Provider Name | Fulton Dewitt Lewis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558479253 PECOS PAC ID: 8426195595 Enrollment ID: I20110203000451 |
| Provider Name | Robert E. Going |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376651034 PECOS PAC ID: 3072650142 Enrollment ID: I20110217000307 |
| Provider Name | Steven P King |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669580312 PECOS PAC ID: 2163569237 Enrollment ID: I20110413000618 |
| Provider Name | Brett C. Gray |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619085362 PECOS PAC ID: 6709923873 Enrollment ID: I20110414000356 |
| Provider Name | Scott E Tate |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528166097 PECOS PAC ID: 1850369471 Enrollment ID: I20200331002034 |
| Provider Name | Ravi Chandran |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043496235 PECOS PAC ID: 2466686266 Enrollment ID: I20220524002943 |
| Provider Name | Larry Paul Parworth |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023005923 PECOS PAC ID: 6507173754 Enrollment ID: I20221202000335 |
Kimberly A Peters Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Iris Dr Sw Ste A, Conyers, GA 30094 Phone: 770-922-1666 | |
Conyers Endodontic Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Highway 20 Se, Suite A, Conyers, GA 30013 Phone: 470-486-6025 Fax: 470-474-2221 | |
Priyanka Seekand Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Iris Dr Sw, Suite A, Conyers, GA 30094 Phone: 770-922-1666 | |
Mini Smiles Pediatric Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Dogwood Dr Se, Conyers, GA 30013 Phone: 770-761-5690 Fax: 770-761-9750 | |
Little P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 Dogwood Dr Se Ste 304, Conyers, GA 30013 Phone: 843-990-9998 | |
Shurett Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1816 Lakefield Ct, Conyers, GA 30013 Phone: 770-860-8760 Fax: 770-760-1375 |