Gordon L Brady
ORAL SURGERY ASSOCIATES AND DENTAL IMPLANT CENTER PC


Address: 1463 Klondike Rd Sw, Suite C, Conyers, GA 30094-5103
Phone: 7704839692

Gordon L Brady (NPI# 1619085396, PAC ID# 3173660248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1619085396
PAC ID by PECOS 3173660248
Professional Enrollment ID I20110126000179
Full Name Gordon L Brady
Organization Legal Name ORAL SURGERY ASSOCIATES AND DENTAL IMPLANT CENTER PC
Address 1463 Klondike Rd Sw
Suite C
Conyers
GA 30094-5103
Phone Number 7704839692
Gender M
Medical School MEDICAL COLLEGE OF GEORGIA SCHOOL OF DENTISTRY
Graduation Year 1976
Primary Specialty ORAL SURGERY
Group Practice PAC ID 9537154968
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110076 DEKALB MEDICAL CENTER

Other Locations

Address Phone Organization
3580 Piedmont Nerd, Suite 207, Atlanta, GA 30305-1506 4042335385 ORAL SURGERY ASSOCIATES AND DENTAL IMPLANT CENTER PC
1463 Klondike Rd Sw, Suite C, Conyers, GA 30094-5103 7704839692 ORAL SURGERY ASSOCIATES AND DENTAL IMPLANT CENTER PC

Organization Information

Organization Legal Name ORAL SURGERY ASSOCIATES AND DENTAL IMPLANT CENTER PC
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Brett C. Gray Oral Surgery Oral Surgery Associates and Dental Implant Center PC 1463 Klondike Swrd, C, Conyers, GA 30094-5127
Robert E. Going Jr. Oral Surgery Oral Surgery Associates and Dental Implant Center PC 10930 Crabapple Rd, Suite 160, Roswell, GA 30075-7631
Steven D Pollack Oral Surgery Oral Surgery Associates and Dental Implant Center PC 7135 Floyd Nest, Covington, GA 30014-1578
Steven P King Oral Surgery Oral Surgery Associates and Dental Implant Center PC 7135 Floyd Nest, Covington, GA 30014-1578
Richard S. Singer Oral Surgery Oral Surgery Associates and Dental Implant Center PC 7135 Floyd Nest, Covington, GA 30014-1578

Office Location

Street Address 1463 KLONDIKE RD SW
SUITE C
City CONYERS
State GA
Zip 30094-5103

Physicians in the same zip code

Name Specialty Organization Address
Stephanie H Gordon Obstetrics/gynecology The Womens Center PC 2750 Owens Sw Rd, Suite A, Conyers, GA 30094
Nicklaus T Rice Obstetrics/gynecology The Womens Center PC 2750 Owens Sw Rd, Suite A, Conyers, GA 30094
Virgina Birnbach Hyland Family Medicine Piedmont Medical Care Corporation 2800 Hwy 138 Sw, Suite A, Conyers, GA 30094-3929
Grace C Loy Internal Medicine Piedmont Medical Care Corporation 2800 Hwy 138 Sw, Suite A, Conyers, GA 30094-3929
Gilbert A Kandrac Jr. Certified Registered Nurse Anesthetist (crna) Sentry Anesthesia Management, LLC 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991
Anuj K Masih Physical Therapy 1500 Klondike Swrd, A105, Conyers, GA 30094-5115
Brett C. Gray Oral Surgery Oral Surgery Associates and Dental Implant Center PC 1463 Klondike Swrd, C, Conyers, GA 30094-5127
Richard A Carter Hematology/oncology Nsh Cancer Institute Professional Services A, LLC 1498 Klondike Swrd, Suite 106, Conyers, GA 30094-5169
Natalia Abazeri Physician Assistant Nsh Cancer Institute Professional Services A, LLC 1498 Klondike Swrd, Suite 106, Conyers, GA 30094-5169
Cara R Abramson Nurse Practitioner Nsh Cancer Institute Professional Services A, LLC 1498 Klondike Swrd, Suite 106, Conyers, GA 30094-5169
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Competitor

Search similar physicians

City CONYERS
Zip Code 30094
Specialty ORAL SURGERY
City + Specialty CONYERS + ORAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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