Raheel Thobhani, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122529 Issued in GA

Practice address

3451 Ernest W Barrett Pkwy NW
Marietta, GA 30064-5034

Phone

(770) 626-7369

NPI assigned

Jul 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: opsmanager.1107@mid-atlanticdental.com

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1235701913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 MANDALAY CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 ERNEST W BARRETT PKWY NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645034",
            "telephone_number": "770-626-7369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190475956",
            "country_code": "US",
            "telephone_number": "215-575-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOBHANI",
        "first_name": "RAHEEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043280",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Opsmanager.1107@mid-atlanticdental.com",
            "affiliation": "N",
            "address_1": "712 Trenton Rd",
            "city": "Langhorne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190475956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deena H Theiss, MD
• Therapeutic Expressions
• Tanya Saporita Theriot, PSYD
• Bryan Thiel
• Somphong Thitaram, MD
• Thomas Eye Group PC
• Thomas Eye Group PC
• Thomas Tumbarello DC PC
• Abraham Chempakanallore Thomas, M.D.
• Akhil M Thomas, DOCTOR OF PHARMACY

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.