PEACHTREE DUNWOODY ORAL AND FACIAL SURGERY, PC
NPI 1639542459
Dentist - Oral and Maxillofacial Surgery in Atlanta, GA

NPI Status: Active since November 02, 2015

Contact Information

999 PEACHTREE ST NE
SUITE 715
ATLANTA, GA
ZIP 30309
Phone: (404) 892-2999
Fax: (404) 815-7730

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • CLIA Number: 11D0982108
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-16-2027

About PEACHTREE DUNWOODY ORAL AND FACIAL SURGERY, PC

This page provides the complete NPI Profile along with additional information for Peachtree Dunwoody Oral And Facial Surgery, Pc, a provider established in Atlanta, Georgia operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1639542459 assigned on November 2015. The practitioner's primary taxonomy code is 1223S0112X with license number DN013687 (GA). The provider is registered as an organization and their NPI record was last updated 10 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 Ms. Amy Kuhmichel Diane Kuhmichel Dmd (Co-owner)

NPI
1639542459
Provider Name
PEACHTREE DUNWOODY ORAL AND FACIAL SURGERY, PC
Entity Type
Organization
Location Address
999 PEACHTREE ST NE SUITE 715 ATLANTA, GA 30309
Location Phone
(404) 892-2999
Location Fax
(404) 815-7730
Mailing Address
999 PEACHTREE ST NE SUITE 715 ATLANTA, GA 30309
Mailing Phone
(404) 892-2999
Mailing Fax
(404) 815-7730
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2015
Last Update Date
11-02-2015
Code Navigator

A dentist like Peachtree Dunwoody Oral And Facial Surgery, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
DN013687
License State
GA
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. AMY KUHMICHEL DIANE KUHMICHEL DMD

Authorized Official Title
CO-OWNER
Authorized Official Phone
(404) 892-2999

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0982108
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 17, 2025
Certificate Expiration Date
January 16, 2027
Laboratory Director
XAVIER A. DURALDE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peachtree Dunwoody Oral And Facial Surgery, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1639542459
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691044410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 4 + 4 + 4 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1639542459 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114036076 FORREST MICHAEL TOCA MD
Individual
Internal Medicine (Cardiovascular Disease)999 PEACHTREE ST NE SUITE 850
ATLANTA, GA 30309
(404) 874-1788
1134248362DR. JAY SMITH DDS
Individual
Dentist (Prosthodontics)999 PEACHTREE ST NE SUITE # 795
ATLANTA, GA 30309
(404) 872-3140
1164548723DR. ROBERT BROCHSTEIN D.D.S.
Individual
Dentist (General Practice)999 PEACHTREE ST NE STE. 705
ATLANTA, GA 30309
(404) 874-4282
1588053672POPPIN PERIO PC
Organization
Dentist (Periodontics)999 PEACHTREE ST NE SUITE 800
ATLANTA, GA 30309
(404) 537-5211
1861865206TM
Organization
Dentist999 PEACHTREE ST NE SUITE 800
ATLANTA, GA 30309
(678) 888-6667
1275993016JOE SCHMOE DDS PC
Organization
Dentist (General Practice)999 PEACHTREE ST NE
ATLANTA, GA 30309
(111) 222-3344
1053549915DR. SUZANNA R AGUILERA DMD
Individual
Dentist999 PEACHTREE ST NE SUITE 700
ATLANTA, GA 30309
(404) 537-5224
1295791549 GLENN MARON DDS FACS
Individual
Oral & Maxillofacial Surgery999 PEACHTREE ST NE STE 715
ATLANTA, GA 30309
(404) 892-2999
1528107984PRIEST & SMITH, LLC
Organization
Dentist (Prosthodontics)999 PEACHTREE ST NE SUITE 795
ATLANTA, GA 30309
(404) 872-3140
1285771253METROPOLITAN ATLANTA CARDIOLOGY CONSULTANTS
Organization
Internal Medicine (Cardiovascular Disease)999 PEACHTREE ST NE SUITE 850
ATLANTA, GA 30309
(404) 874-1788

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639542459, enumerated in the NPI registry as an "organization" on November 02, 2015

The provider is located at 999 Peachtree St Ne Suite 715 Atlanta, Ga 30309 and the phone number is (404) 892-2999

This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

The provider's CLIA number is 11D0982108 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 02, 2015. 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].
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