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Northside Oral Surgery Center LLC

Oral and Maxillofacial Surgery (Dentist) in Atlanta, GA · enumerated 2019 · authorized official Mike Cole, Vp Insurance Plan Management.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891252227

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Registry record

Entity type Organization (Type 2)
Legal business name Northside Oral Surgery Center LLC
Practice address 4700 Chamblee Dunwoody Rd, Atlanta, GA, 30338
Phone (770) 393-8500
Fax (770) 393-8855
Enumeration date Feb 21, 2019
Last updated in NPPES Feb 21, 2019

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Mike Cole
Title Vp Insurance Plan Management
Phone (941) 955-3150

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-02-21. Verify at npiregistry.cms.hhs.gov.
Where is Northside Oral Surgery Center LLC located?
The practice location on file with NPPES is in Atlanta, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-21.