Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1003920794
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Stevens Entry, Stevens Forest, Fernwood, Peachtree City, Fayette County, Georgia, 30269, United States
PEACHTREE CITY, GA 302694050
Phone: (770) 487-3807
Fax: (770) 487-1259
Type: Mailing
Jefferson Parkway, McBride, Newnan, Coweta County, Georgia, 30263, United States
NEWNAN, GA 302635822
Phone: (770) 304-5577
Fax: (770) 304-5550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Geistlich Pharma, North America, Inc. ($20).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Geistlich Pharma, North America, Inc. | $20 |
| Dentsply Sirona Inc | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30269)
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Reviews
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