Michael S. Mansouri, DMD

Dentist · Lawrenceville, GA

Individual Active NPI

NPI number 1194862896

Practice location

2401 Lawrenceville Hwy Ste a
Lawrenceville, GA 30044-4411
Phone
(770) 962-0014
Fax
(770) 962-9886

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NPI record

NPI
1194862896
Entity type
Individual (Type 1)
Enumeration date
January 31, 2007
Last updated
April 11, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN012848 GA

About Dr. Mansouri

Michael S. Mansouri, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2401 Lawrenceville Hwy Ste a, Lawrenceville, GA 30044-4411. The NPI number 1194862896 was assigned on January 31, 2007 and the record was last updated on April 11, 2008.

Dr. Mansouri lists a license in the registry: #DN012848 (GA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael S. Mansouri, DMD?

The NPI number is 1194862896.

What is the phone number of Dr. Mansouri?

The phone number listed for the practice location is (770) 962-0014.

Where is Dr. Mansouri located?

2401 Lawrenceville Hwy Ste a, Lawrenceville, GA 30044-4411.

What is the taxonomy code for Dr. Mansouri?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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