Mansouri Dental Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MANSOURI DENTAL CARE PC

Practice address

2401 Lawrenceville Hwy Ste a
Lawrenceville, GA 30044-4669

Phone

(678) 909-1970

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Mansouri, DMD

Title

Dentist/Owner

Phone

(267) 441-2565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1649886102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LAWRENCEVILLE HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444669",
            "telephone_number": "678-909-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LAWRENCEVILLE HWY STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444669",
            "telephone_number": "678-909-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSOURI DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MANSOURI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "267-441-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puja Mangukiya, MD
• Asherah S Manley
• Manna Scholarship Fund
• Kamilah Manohar, RBT
• R Leigh Mansfield, DNP, AGACNP
• Azita Agharahimi Mansouri, D.M.D.
• Michael S Mansouri, DMD
• Raquel Andrea Manzo, APC, NCC
• Mara'S Empire LLC
• Rickiesha March

• Dental Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.