George Demetrius Nour Coletti, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO7148 Issued in GA

Practice address

5417 E Mountain St
Stone Mountain, GA 30083-3072

Phone

(404) 281-4607

Fax

(770) 469-3407

NPI assigned

Nov 6, 2006

Sex

Male

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508945791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 E MOUNTAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833072",
            "telephone_number": "404-281-4607",
            "fax_number": "770-469-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 E MOUNTAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833072",
            "telephone_number": "404-281-4607",
            "fax_number": "770-469-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLETTI",
        "first_name": "GEORGE",
        "middle_name": "DEMETRIUS NOUR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO7148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Clodomir, D.O.
• Desiree Nicole Cochran-Norfolk, CCS, CMAC, CAC II
• Gretchen Cody
• Olga Colac
• Shaaira Coleman
• Gretchen Collins, MD
• Joel Makia Collins, DDS
• Lakheem Collins
• Shanta Mitchell Collins, RN
• Terri R Collins

• General Practice Dentistry in Stone Mountain, GA
• Providers in Stone Mountain, 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 Jul 9, 2007; 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.