Samin Dorri, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123566 Issued in GA

Practice address

1950 Spectrum Cir SE Ste 545
Marietta, GA 30067-8501

Phone

(770) 952-3333

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1346073079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 CLUBLAND TRL",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684019",
            "telephone_number": "404-901-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SPECTRUM CIR SE STE 545",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678501",
            "telephone_number": "770-952-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRI",
        "first_name": "SAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Sainte Dorcely, REGISTERED NURSE
• Dorfzaun Eye Group,L.L.C.
• Sander Sol Dorfzaun, O.D.
• John Marvin Doris, D.D.S.
• Gwendolyn Barron Dorman, MSPT
• Jayli Dorsey
• Kathleen M Dorsey
• Ricky Doshi, MD
• Maged N. Doss, M.D.
• Sarah E Doss, PT, DPT

• 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 Aug 20, 2024; 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.