COSMETIC FAMILY & IMPLANT DENTISTRY OF ATLANTA
NPI 1073944997
Point of Service in Atlanta, GA

Active since December 03, 2013
3350 RIVERWOOD PKWY SE, SUITE 2120, ATLANTA, GA 30339(770) 955-2505(770) 953-4011 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cosmetic Family & Implant Dentistry Of Atlanta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSMETIC FAMILY & IMPLANT DENTISTRY OF ATLANTA (NPI 1073944997) is a healthcare organization registered as a point of service in Atlanta, Georgia and active in the NPI registry since December 2013. The organization lists Michael S Mansouri, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1073944997
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCOSMETIC FAMILY & IMPLANT DENTISTRY OF ATLANTA
Location Address3350 RIVERWOOD PKWY SE, SUITE 2120Atlanta, GA 30339-6401
Mailing Address3350 Riverwood Pkwy Se, Suite 2120Atlanta, GA 30339-6401 · (770) 955-2505 · Fax (770) 953-4011
Fax(770) 953-4011
Organization SubpartNo
Authorized OfficialMichael S MansouriDentist/owner · (267) 441-2565
Enumeration DateDecember 3, 2013
NPI 1073944997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in GA · DN012848
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
3350 RIVERWOOD PKWY SE, Atlanta, GA 30339

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
3350 RIVERWOOD PKWY SE, SUITE 2130
ATLANTA, GA 30339
Nurse Practitioner (Family)
3350 RIVERWOOD PKWY SE
ATLANTA, GA 30339
Dentist (Orthodontics and Dentofacial Orthopedics)
3350 RIVERWOOD PKWY SE, SUITE 2130
ATLANTA, GA 30339
Home Health
3350 RIVERWOOD PKWY SE, 1900
ATLANTA, GA 30339
Dentist (General Practice)
3350 RIVERWOOD PKWY SE, SUITE 2120
ATLANTA, GA 30339
Counselor (Professional)
3350 RIVERWOOD PKWY SE
ATLANTA, GA 30339
Clinic/Center (Health Service)
3350 RIVERWOOD PKWY SE, SUITE 1900
ATLANTA, GA 30339
Pharmacist
3350 RIVERWOOD PKWY SE
ATLANTA, GA 30339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cosmetic Family & Implant Dentistry Of Atlanta's NPI number?

The NPI number for Cosmetic Family & Implant Dentistry Of Atlanta is 1073944997. It was assigned to this organization in the NPPES registry on December 3, 2013.

Where is Cosmetic Family & Implant Dentistry Of Atlanta located?

Cosmetic Family & Implant Dentistry Of Atlanta is located at 3350 Riverwood Pkwy SE Suite 2120, Atlanta, GA 30339. The listed phone number is (770) 955-2505.

What is Cosmetic Family & Implant Dentistry Of Atlanta's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Cosmetic Family & Implant Dentistry Of Atlanta was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.