Saman Nematbakhsh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014833 Issued in GA

Practice address

8080 Hickory Flat Hwy
Woodstock, GA 30188-2163

Phone

(470) 601-7888

Fax

(470) 601-7666

NPI assigned

Jul 15, 2014

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1548677222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 HICKORY FLAT HWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882163",
            "telephone_number": "470-601-7888",
            "fax_number": "470-601-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 HICKORY FLAT HWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882163",
            "telephone_number": "470-601-7888",
            "fax_number": "470-601-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMATBAKHSH",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Navarro, L.M.T
• Benjamin E Neal, LPC
• Nadine Neal
• Christa Barefoot Nelms, AU.D.
• Carla Nelson, M.A.
• Nesfamchiro,LLC (Nesnick Family and Sports Chiropractic)
• Elizabeth R Nesmith, M.D.
• Michal J Nesnick, D.C.
• Sharity C Nesnick, LMT
• Magen Ann Nessi, NP

• General Practice Dentistry in Woodstock, GA
• Providers in Woodstock, 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 Jan 30, 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.