Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shahrokh C Bagheri, MD, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1154325587

Dr. Shahrokh C Bagheri, MD, DMD is a Maxillofacial Surgery in Marietta, Georgia. Graduated from Emory University School of Medicine in 2000, 26 years ago. Practices with North Atlanta Professional Services LLC, a 423-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1000 Johnson Ferry Rd Bldg H
Marietta, GA 30068-5518
Phone: (770) 977-0364
Fax: (678) 819-6531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 054541 (GA)

Record details

NPI number1154325587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DMD
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice North Atlanta Professional Services Llc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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