COBB ORAL SURGERY AND DENTAL IMPLANT CENTER PC (NPI# 1700354677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700354677 |
| Entity Type | Organization |
| Organization Name | COBB ORAL SURGERY AND DENTAL IMPLANT CENTER PC |
| Practice Address |
2155 Post Oak Tritt Rd Ste 500 Marietta GA 30062-8609 |
| Mailing Address |
842 Springfield Ave New Providence NJ 07974-2439 |
| Practice Telephone | 7709731738 |
| Mailing Telephone | 6176424893 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | MR. SANJEET CHAUDHARY (OWNER) |
| Authorized Official Telephone | 6176424893 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
2155 POST OAK TRITT RD STE 500 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-8609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386953222 | Dental Health Associates Oral Surgery Inc. | Dentist | 2900 Delk Rd Se Ste 1450, Marietta, GA 30067-5322 | 2010-09-27 |
| 1326041971 | James Ralph Smouse | Dentist | 1000 Johnson Ferry Rd, Bldg H, Marietta, GA 30068-5518 | 2005-05-27 |
| 1861884124 | Bryan Benton | Dentist | 1000 Johnson Ferry Rd Bldg H, Marietta, GA 30068-5518 | 2015-02-24 |
| 1528401445 | Joshua Michael Levy | Dentist | 1000 Johnson Ferry Rd Bldg H, Marietta, GA 30068-5518 | 2013-04-10 |
| 1104172741 | Mountain View Oral Surgery & Dental Implants LLC | Dentist | 121 Marble Mill Rd Nw, Suite 202, Marietta, GA 30060-7959 | 2012-08-01 |
| 1194082321 | Christopher Hugh Kragor | Dentist | 1000 Johnson Ferry Rd Bldg H, Marietta, GA 30068 | 2012-04-12 |
| 1205192887 | Jorge Alberto Gonzalez-ocasio | Dentist | 1000 Johnson Ferry Rd Bldg H, Marietta, GA 30068-5518 | 2012-04-08 |
| 1982979753 | Richard Walls, Dmd,pc | Dentist | 2155 Post Oak Tritt Rd, Suite 500, Marietta, GA 30062-8620 | 2012-03-13 |
| 1154610665 | Michael Rosenthal | Dentist | 55 Whitcher St Ne, Suite 140, Marietta, GA 30060-1155 | 2011-04-05 |
| 1437460011 | Robert C Wunderle IIi | Dentist | 1000 Johnson Ferry Rd, Bldg H, Marietta, GA 30068-2114 | 2010-06-29 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.