Creekside Oral Surgery Inc

LBN: Creekside Oral Surgery Inc
Creekside Oral Surgery Inc is an health care organization with primary practice located at 10700 Medlock Bridge Rd Ste 204 , Johns Creek GA 30097-8455. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Creekside Oral Surgery Inc can be contacted via phone (770) 764-0840, or through Egolum, Nkemakonam via phone (770) 764-0840.

Contact Information

Primary practice address
10700 Medlock Bridge Rd Ste 204 Johns Creek GA 30097-8455
Phone: (770) 764-0840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Egolum, Nkemakonam Doctor of Dental Surgery (DDS)
Phone: (770) 764-0840

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1992586143
LBN Legal business name Creekside Oral Surgery Inc
DBA Doing business as
Authorized official Egolum, Nkemakonam Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2023
Last updated Oct 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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