Dr Sandeep V Pathak, DMD, MD | |
745 Old Norcross Rd, Lawrenceville, GA 30045-4317 | |
(770) 962-9515 | |
(770) 962-2722 |
Full Name | Dr Sandeep V Pathak |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 21 Years |
Location | 745 Old Norcross Rd, Lawrenceville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144239203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 057140 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory Decatur Hospital | Decatur, GA | Hospital |
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oral And Facial Surgery Associates Pc | 4082677380 | 3 |
Entity Name | Oral And Facial Surgery Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699780163 PECOS PAC ID: 4082677380 Enrollment ID: O20041108000923 |
Mailing Address | Practice Location Address |
---|---|
Dr Sandeep V Pathak, DMD, MD 745 Old Norcross Rd, Lawrenceville, GA 30045-4317 Ph: (770) 962-9515 | Dr Sandeep V Pathak, DMD, MD 745 Old Norcross Rd, Lawrenceville, GA 30045-4317 Ph: (770) 962-9515 |
Dr. Kenneth Tralongo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171guinnett Dr, Suite C, Lawrenceville, GA 30045 Phone: 770-963-1941 Fax: 770-963-7707 | |
Dr. Juan Carlos Flores, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 Langley Dr Ste D, Lawrenceville, GA 30046 Phone: 678-779-3077 | |
Dr. Martin E Kersh, D.M.D.,P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 559 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-339-6393 | |
Dr. Jason Klevansky, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 Phone: 770-921-1115 | |
Dr. Robert E Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 745 Old Norcross Rd, Lawrenceville, GA 30045 Phone: 770-962-9515 Fax: 770-962-2722 | |
Dr. John C Binkley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15 Collins Industrial Way, Suite A, Lawrenceville, GA 30043 Phone: 770-962-3191 Fax: 770-962-3145 | |
Heliodore Anatole Hovenou, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4825 Sugarloaf Pkwy, Lawrenceville, GA 30044 Phone: 770-962-4322 |