Michael Harley Sebastian, DMD, MSD, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

01072 Issued in GA

Practice address

91 W Wieuca Rd NE
Suite-300
Atlanta, GA 30342-3248

Phone

(404) 303-7400

Fax

(404) 303-1555

NPI assigned

Mar 19, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ga SDS III PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atlanta, GA
  • NPI 1508639535
  NPD (past)
• Ga SDS III PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Atlanta, GA
  • NPI 1861255093
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1891819652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W WIEUCA RD NE",
            "address_2": "SUITE-300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423248",
            "telephone_number": "404-303-7400",
            "fax_number": "404-303-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W WIEUCA RD NE",
            "address_2": "SUITE-300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423248",
            "telephone_number": "404-303-7400",
            "fax_number": "404-303-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "MICHAEL",
        "middle_name": "HARLEY",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "01072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Wingate Seay, O.D.
• Brandon Seay, MD
• Seb Brands, LLC
• Michelle Leigh Sebag, CRNA
• Kavya M Sebastian, M.D.
• Nikhil Sebastian, M.D.
• Noelle Sebastian
• Kathryn Rose Sebaugh, MS, RDN, LD
• Peter S Sebel, MD
• Merry Ellen Sebelik, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.