Anesthesiologists for Dental Sedation LLC
Organization Active NPI Anesthesiology Physician · Dacula, GA
NPI 1235754151 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1235754151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ANESTHESIOLOGISTS FOR DENTAL SEDATION LLC
- Practice address
- 3625 Braselton Hwy Ste 201
Dacula, GA 30019-4695 - Phone
- (678) 889-2326
- Fax
- (470) 238-3658
- NPI assigned
- Jun 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Cory Kane Mansour, MD
- Title
- Co-Founding Partner/Owner
- Phone
- (678) 889-2326
Practitioners 1
-
Cory Kane Mansour, M.D.
National Provider Directory
Locations
2725 Hamilton Mill Rd
Ste 240
Buford, GA 30519
3625 Braselton Hwy
Ste 201
Dacula, GA 30019
Phone (678) 450-1222
4151 Steve Reynolds Blvd
Norcross, GA 30093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
3625 Braselton Hwy Ste 201
Dacula, GA 30019-4695
Mailing address
3625 Braselton Hwy Ste 201
Dacula, GA 30019-4695
Phone (678) 889-2326
Other names
- Anesthesiologists for Outpatient Surgery
Other providers in Dacula, GA
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- Martha R Alvarado
- Ama Browne LLC
- Amity Home Care LLC
- William Donald Anderson Jr.
- Maria Angel
- Sergio Esteban Angel
- Anna Anglin
- Adwoa Aninkorah
- Maria Ansari
All providers in Dacula, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.