Organization Active NPI

Comfort Dental Care, Inc.

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1306060595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN012920 Issued in GA
Legal business name
COMFORT DENTAL CARE, INC.
Doing business as
Chamblee Dental Care
Practice address
3652 Chamblee Dunwoody Rd
Suite 5
Atlanta, GA 30341-2120
Phone
(770) 451-0451
Fax
(770) 936-9774
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mehron Haidari, D.M.D.NPI 1598989741
Title
President
Phone
(770) 451-0451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN012920 GA Primary

Addresses

Primary practice location

3652 Chamblee Dunwoody Rd
Suite 5
Atlanta, GA 30341-2120

Mailing address

3652 Chamblee Dunwoody Rd
Suite 5
Atlanta, GA 30341-2120
Phone (770) 451-0451

Other names 1

  • Chamblee Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3652 Chamblee Dunwoody Rd
Ste 5
Atlanta, GA 30341
Phone (770) 451-0451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306060595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412120",
            "telephone_number": "770-451-0451",
            "fax_number": "770-936-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412120",
            "telephone_number": "770-451-0451",
            "fax_number": "770-936-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIDARI",
        "authorized_official_first_name": "MEHRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-451-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN012920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chamblee Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.