NPI 1649678921

Smdentalpc

Organisation Exclusive Provider Organization Atlanta, GA

Practice location

Address: 440 Flat Shoals Ave SE, Atlanta, GA 30316-1915
Phone: (404) 688-2223
Fax: (404) 688-6602

Authorised official

Name: Shervin Meshkian
Title: Dentist/Ceo
Phone: (404) 688-2223

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence DN012987 (GA)

Other Exclusive Provider Organization providers in Georgia →

Registry record

NPI: 1649678921
Entity type: Organization
NPI issued: 18 Dec 2014
Record last updated: 18 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.