ORAL AN IMPLANT SURGERY SPECIALISTS, PC
NPI 1396094074
Oral & Maxillofacial Surgery in Fayetteville, GA
NPI Status: Active since September 10, 2012
Contact Information
1260 HIGHWAY 54 W
SUITE 200
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 461-2101
Fax: (770) 460-1292
- Organization
- Oral & Maxillofacial Surgery
About ORAL AN IMPLANT SURGERY SPECIALISTS, PC
This page provides the complete NPI Profile along with additional information for Oral An Implant Surgery Specialists, Pc, a provider established in Fayetteville, Georgia operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1396094074 assigned on September 2012. The practitioner's primary taxonomy code is 204E00000X with license number 007973 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Durwood M Johnson Jr. Dmd (Doctor)
- NPI
- 1396094074
- Provider Name
- ORAL AN IMPLANT SURGERY SPECIALISTS, PC
- Entity Type
- Organization
- Location Address
- 1260 HIGHWAY 54 W SUITE 200 FAYETTEVILLE, GA 30214
- Location Phone
- (770) 461-2101
- Location Fax
- (770) 460-1292
- Mailing Address
- 1260 HIGHWAY 54 W SUITE 200 FAYETTEVILLE, GA 30214
- Mailing Phone
- (770) 461-2101
- Mailing Fax
- (770) 460-1292
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-10-2012
- Last Update Date
- 05-10-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 007973
- License State
- GA
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000189351B | MEDICAID (05) | GA | |
| U22627 | MEDICARE UPIN (02) | GA | |
| 19NCCGC | MEDICARE PIN (08) | GA |
Reviews for ORAL AN IMPLANT SURGERY SPECIALISTS, PC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 0 | 9 | 4 | 0 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 9 | 8 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 9 + 8 + 0 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1396094074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790713279 | MRS. KAREN G BARBER Individual | Physical Therapist | 1260 HIGHWAY 54 W SUITE 101 FAYETTEVILLE, GA 30214 (404) 392-7110 |
| 1205019387 | SOMNOLIFE, LLC Organization | Clinic/Center (Sleep Disorder Diagnostic) | 1260 HIGHWAY 54 W SUITE 203 FAYETTEVILLE, GA 30214 (770) 692-7580 |
| 1689851925 | JOY BRUMBELOE CNM Individual | Advanced Practice Midwife | 1260 HIGHWAY 54 W STE 101 FAYETTEVILLE, GA 30214 (770) 460-4644 |
| 1013150820 | RHEUMATOLOGY ARTHRITIS CENTE, INC. Organization | Clinic/Center (Medical Specialty) | 1260 HIGHWAY 54 W SUITE 103 FAYETTEVILLE, GA 30214 (678) 783-0164 |
| 1881639110 | GEORGIA UROGYNECOLOGY, PC Organization | Obstetrics & Gynecology (Gynecology) | 1260 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 460-4644 |
| 1619037165 | CROSS MY HEART PHYSICAL THERAPY Organization | Physical Therapist | 1260 HIGHWAY 54 W SUITE 101 FAYETTEVILLE, GA 30214 (404) 392-7110 |
| 1699008409 | DR. LISA M AVERY M.D. Individual | Psychiatry & Neurology (Neurology) | 1260 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (214) 619-1910 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396094074, enumerated in the NPI registry as an "organization" on September 10, 2012
The provider is located at 1260 Highway 54 W Suite 200 Fayetteville, Ga 30214 and the phone number is (770) 461-2101
This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.