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Creekside Oral Surgery Inc

Dentist - Oral and Maxillofacial Surgery

NKEMAKONAM EGOLUM
NPI: 1992586143Johns Creek, Georgia, 30097(770) 764-0840

About Creekside Oral Surgery Inc

Creekside Oral Surgery Inc is a healthcare organization providing Dentist - Oral and Maxillofacial Surgery services, with specialized expertise in Oral and Maxillofacial Surgery, registered under National Provider Identifier (NPI) number 1992586143.

The authorized official for Creekside Oral Surgery Inc is NKEMAKONAM EGOLUM. The organization is headquartered at 10700 MEDLOCK BRIDGE RD STE 204, Johns Creek, Georgia 30097. The main office can be reached at (770) 764-0840.

Creekside Oral Surgery Inc has been NPI-registered since 2023.

Locations & Contact

Primary Location

Address
10700 MEDLOCK BRIDGE RD STE 204
City
Johns Creek
State
Georgia
ZIP
30097-8455
Phone
(770) 764-0840
View on Google Maps

Authorized Official

Name
NKEMAKONAM EGOLUM

Mailing Address

Address
10700 MEDLOCK BRIDGE RD STE 204
City
JOHNS CREEK
State
GA
ZIP
300978455

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Classification
Dentist
Specialization
Oral and Maxillofacial Surgery
Taxonomy Code
1223S0112X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Creekside Oral Surgery Inc's NPI number?
Creekside Oral Surgery Inc's National Provider Identifier (NPI) is 1992586143. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Creekside Oral Surgery Inc specialize in?
Creekside Oral Surgery Inc specializes in Dentist - Oral and Maxillofacial Surgery.
Where is Creekside Oral Surgery Inc located?
Creekside Oral Surgery Inc practices at 10700 MEDLOCK BRIDGE RD STE 204, Johns Creek, Georgia 30097. You can reach them by phone at (770) 764-0840.
Does Creekside Oral Surgery Inc accept Medicare?
Based on available data, Creekside Oral Surgery Inc is not currently enrolled in the Medicare program.
Does Creekside Oral Surgery Inc offer telehealth or virtual visits?
Creekside Oral Surgery Inc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Creekside Oral Surgery Inc holds NPI 1992586143, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.