DR. ALI MEHRABAN (NPI# 1407073877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407073877 |
| Entity Type | Individual |
| Full Name | DR. ALI MEHRABAN |
| Credential | D.M.D |
| Practice Address |
4060 Johns Creek Pkwy Building C Suwanee GA 30024-1254 |
| Mailing Address |
1935 Vineyard Ct Alpharetta GA 30004-7831 |
| Practice Telephone | 6782053777 |
| Practice Fax Number | 6782053888 |
| Mailing Telephone | 6787700064 |
| Mailing Fax Number | 6782053888 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
011676 | GA | Dental Providers |
| Street Address |
4060 JOHNS CREEK PKWY BUILDING C |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326068735 | Terry Joe Lemons | Dentist | 4060 Johns Creek Pkwy, Bldg, B, Suwanee, GA 30024-1230 | 2006-07-20 |
| 1104076009 | Atlanta Vein Clinic, LLC | Clinic/Center | 4060 Johns Creek Pkwy, Building E, Suwanee, GA 30024-1230 | 2008-09-26 |
| 1174788079 | Robert Douglas Clayton, Md. PC. | Internal Medicine | 4060 Johns Creek Pkwy, Bldg F, Suwanee, GA 30024-1230 | 2008-07-21 |
| 1447463609 | Chalam Mahadevan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4060 Johns Creek Pkwy, Bld E, Suwanee, GA 30024-1230 | 2007-05-07 |
| 1336366723 | Clifford L Johnson | Dentist | 4060 Johns Creek Pkwy, Suite A, Suwanee, GA 30024-1254 | 2007-04-19 |
| 1972635811 | Steven Lewis Perlow | Urology | 4060 Johns Creek Pkwy, Building #f, Suwanee, GA 30024-1254 | 2007-03-09 |
| 1982735395 | Marc Cole Stewart | Physical Therapist | 4060 Johns Creek Pkwy, Suite H, Suwanee, GA 30024-1230 | 2007-03-08 |
| 1558436907 | Robert Douglas Clayton | Internal Medicine | 4060 Johns Creek Pkwy, Bldg. F, Suwanee, GA 30024-1230 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699810424 | Robert Pearson | Dentist | 350 Town Center Avenue, Suite 301, Suwanee, GA 30024-9412 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1780233981 | North Point Periodontics Center LLC | Dentist | 4205 N Point Pkwy Ste A, Alpharetta, GA 30022-8808 | 2019-09-10 |
| 1972012961 | Newnan Periodontics LLC | Dentist | 1635 Highway 34 E Ste A, Newnan, GA 30265-2173 | 2017-09-22 |
| 1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
| 1346601291 | Titanium Dental | Dentist | 3796 Satellite Blvd Ste 101, Duluth, GA 30096-5698 | 2016-03-18 |
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1922491356 | John H Eaton | Dentist | 1776 Old Spring House Ln Ste 301, Dunwoody, GA 30338-6225 | 2015-03-10 |
| 1679977656 | M Forest Butler Dds Ms PC | Dentist | 320 Killian Hill Rd Nw, Lilburn, GA 30047-3809 | 2014-10-20 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| 1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.