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Organization
GA JAW LLC
Active
Organization
GA JAW LLC
Active
Other names
Georgia Jaw Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SAM CARUSO DMD (OWNER/PRINCIPAL)
(847) 542-8131
Entity
Organization
Contact information
Practice address
3275 MARKET PLACE BLVD STE 175, CUMMING, GA 30041-7981
(770) 676-2550
(770) 676-2560
Mailing address
3275 MARKET PLACE BLVD STE 175, CUMMING, GA 30041-7981
(770) 676-2550
(770) 676-2560
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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