Southwest Maxillofacial Surgery & Implant Center is a Oral and Maxillofacial Dental Clinic in Atlanta, Georgia. It is located at 3885 Princeton Lakes Way Sw, 406, Atlanta, GA and its contact number is 404-629-6610. The authorized person for Southwest Maxillofacial Surgery & Implant Center is Dr. Jacques Leonel Gordon
who is President of the clinic and their contact number is 404-629-6610. The primary license number for Southwest Maxillofacial Surgery & Implant Center is DN013463 (Oral and Maxillofacial Surgery) in Georgia. Southwest Maxillofacial Surgery & Implant Center Clinic deals with 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.
Complete Clinic Profile:
Southwest Maxillofacial Surgery & Implant Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southwest Maxillofacial Surgery & Implant Center
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
3885 Princeton Lakes Way Sw, 406, Atlanta, Georgia, 30331-5589
Phone:
404-629-6610
Fax:
404-629-6630
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jacques Leonel Gordon
Position:
President
Contact Number:
404-629-6610
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southwest Maxillofacial Surgery & Implant Center clinic are as mentioned below.
NPI Number:
1073743795
NPI Enumeration Date:
15 Jul, 2009
NPI Last Update On:
15 Jul, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southwest Maxillofacial Surgery & Implant Center are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
DN013463
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
457061566A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southwest Maxillofacial Surgery & Implant Center 3885 Princeton Lakes Way Sw, 406 Atlanta, Georgia
Zip:
30331-5589
Phone Number:
404-629-6610
Fax Number:
404-629-6630
Patients can reach Southwest Maxillofacial Surgery & Implant Center at 3885 Princeton Lakes Way Sw, 406, Atlanta, Georgia or can call to book an appointment on 404-629-6610. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.