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MANHATTAN BOULEVARD DENTAL ASSOCIATES A PROFESSIONAL CORPORATION NPI 1750750360


NPI Information

NPI: 1750750360
Provider Name: MANHATTAN BOULEVARD DENTAL ASSOCIATES, A PROFESSIONAL CORPORATION

Doing Business As: TODAY'S DENTAL COSMETIC AND FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1090 NORTHCHASE PKWY SE
STE 150
MARIETTA, GA
ZIP 30067
Phone: (770) 916-5031
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MANHATTAN BOULEVARD DENTAL ASSOCIATES, A PROFESSIONAL CORPORATION is a general practice dentist in Marietta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MANHATTAN BOULEVARD DENTAL ASSOCIATES, A PROFESSIONAL CORPORATION NPI is 1750750360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Today's Dental Cosmetic And Family Dentistry.

The provider's business location address is:

1090 NORTHCHASE PKWY SE
STE 150
MARIETTA, GA
ZIP 30067-405
Phone: (770) 916-5031

The provider's authorized official is Dimetry Cossich .
The authorized official title is President and has the following contact phone number (504) 361-5333.

The enumeration date for this NPI number is 9/24/2015 and was last updated on 9/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223P0221XDentistPediatric DentistryNo
41223S0112XDentistOral and Maxillofacial SurgeryNo
51223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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