Active NPI
Ramin Rahnema-Tabatabai, DDS
- General Practice Dentistry
- Fayetteville, GA
National Provider Identifier
1851369102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DNO 12840
- Practice address
- 692 Glynn St N
Suite S
Fayetteville, GA 30214-6714 - Phone
- (770) 719-0020
- Fax
- (770) 719-0042
- NPI assigned
- Mar 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DNO 12840 | GA | Primary |
Addresses
Primary practice location
692 Glynn St N
Suite S
Fayetteville, GA 30214-6714
Mailing address
105 Woodsong Dr
Fayetteville, GA 30214-1179
Phone (678) 925-8440
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
| License | State | Type | Specialty |
|---|---|---|---|
| DNO 12840 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851369102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WOODSONG DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141179",
"telephone_number": "678-925-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "692 GLYNN ST N",
"address_2": "SUITE S",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302146714",
"telephone_number": "770-719-0020",
"fax_number": "770-719-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHNEMA-TABATABAI",
"first_name": "RAMIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DNO 12840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.