Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cosmetic Family & Implant Dentistry of Atlanta

Organization Point of Service · NPI 1073944997

Cosmetic Family & Implant Dentistry of Atlanta is a Point of Service in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013

Practice location Address checks out

3350 Riverwood Pkwy SE Ste 2120
Atlanta, GA 30339-6401
Phone: (770) 955-2505
Fax: (770) 953-4011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X · Licence DN012848 (GA)

Record details

NPI number1073944997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mansouri — Dentist/Owner · (267) 441-2565
NPI enumeratedDecember 3, 2013
Last updated in NPPESDecember 3, 2013
Mailing address3350 Riverwood Pkwy Se, Suite 2120, Atlanta, GA 30339-6401

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