Board-certified oral and maxillofacial surgeons Paul Koshgerian, DMD, MD, and Jonathan Shelton, DMD, MD, lead The Oral Surgery & Dental Implant Specialists of San Diego from their east-side office at 6386 Alvarado Court, Suite 110, in Grantville, San Diego, within the 92120 ZIP. Both surgeons hold dual doctoral degrees in dental medicine and medical science, with four to six additional years of post-dental-school surgical residency training in anesthesia administration, complex bone grafting, and maxillofacial reconstruction. The practice was founded in 1995 and carries a BBB A+ rating with over 22 years of accredited operation. Surgical cases requiring pre-operative medical clearance or post-anesthesia monitoring can be coordinated with Emergency Room at Kaiser Permanente Zion Medical Center in Allied Gardens for immediate medical triage. Clinical scope covers the full range of oral surgery: wisdom tooth extraction, single-tooth and full-arch dental implant placement, immediate implant loading after extraction, corrective jaw surgery, IV sedation and general anesthesia, and Stemodontics-certified stem cell collection during extraction procedures. The Alvarado Court address sits near the intersection of Alvarado Road and the I-8 freeway, roughly a quarter-mile from SDSU's campus, drawing referrals from general dentists across San Diego's eastern neighborhoods including Del Cerro, Allied Gardens, San Carlos, and the La Mesa border. A second office at 3737 Moraga Avenue in San Diego's 92117 ZIP covers the coastal side of the county. General dentists preparing implant cases that require surgical staging can coordinate treatment timelines through the referring-provider network, and primary care physicians at Inspire Wellness in Grantville handle medical clearance for patients with cardiovascular, diabetic, or anticoagulant-therapy considerations before surgery. The dual-degree DMD/MD credential distinguishes both surgeons from general dentists and periodontists, qualifying them to administer all forms of anesthesia and manage intraoperative medical complications that exceed dental-only training.