Organization Active NPI

Chastain Dental Studio LLC

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1114835303
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHASTAIN DENTAL STUDIO LLC
Practice address
4365 Roswell Rd NE Ste 4411
Atlanta, GA 30342-3315
Phone
(770) 282-1252
Fax
(770) 282-1245
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pooya Hoseinzadeh, DMD
Title
Owner Dentist
Phone
(770) 282-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4365 Roswell Rd NE Ste 4411
Atlanta, GA 30342-3315

Mailing address

770 Mockingbird LN
Marietta, GA 30068-2356
Phone (678) 557-7176

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1114835303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MOCKINGBIRD LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682356",
            "telephone_number": "678-557-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 ROSWELL RD NE STE 4411",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423315",
            "telephone_number": "770-282-1252",
            "fax_number": "770-282-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASTAIN DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "HOSEINZADEH",
        "authorized_official_first_name": "POOYA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "770-282-1252",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.