Individual provider Active NPI

Hassan Marwan Mohammed Salih, DDS

  • Dentist
  • Brookhaven, GA
National Provider Identifier
1750169249
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123518 Issued in GA
Practice address
2221 Johnson Ferry Rd NE Unit 2a
Brookhaven, GA 30319-2203
Phone
(404) 200-7341
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 04869 NH
Dentist 122300000X DN123518 GA Primary

Addresses

Primary practice location

2221 Johnson Ferry Rd NE Unit 2a
Brookhaven, GA 30319-2203

Mailing address

6765 Crofton Dr
Alpharetta, GA 30005-8358
Phone (678) 640-2871

Other names 1

  • Hassan Marwan Mohammed Salih Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN123518GAMDDentist
04869NHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1750169249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 CROFTON DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058358",
            "telephone_number": "678-640-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 JOHNSON FERRY RD NE UNIT 2A",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192203",
            "telephone_number": "404-200-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED SALIH",
        "first_name": "HASSAN",
        "middle_name": "MARWAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04869",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HASSAN",
            "last_name": "MOHAMMED SALIH",
            "middle_name": "MARWAN",
            "credential": "HASSAN MARWAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.