Active NPI
Healthy Smiles of East Cobb
- Periodontics
- Marietta, GA
National Provider Identifier
1912342122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- HEALTHY SMILES OF EAST COBB
- Practice address
- 1505 Johnson Ferry Rd
Marietta, GA 30062-9110 - Phone
- (770) 973-9765
- NPI assigned
- May 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad Husan Albzreh
- Title
- DMD
- Phone
- (770) 973-9765
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary | ||
| Dental Assistant | 126800000X |
Addresses
Primary practice location
1505 Johnson Ferry Rd
Marietta, GA 30062-9110
Mailing address
1505 Johnson Ferry Rd
Marietta, GA 30062-9110
Phone (770) 973-9765
National Provider Directory
National Provider DirectoryLocations
1505 Johnson Ferry Rd
Marietta, GA 30062
Phone (770) 973-9765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367366400000",
"number": "1912342122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300629110",
"telephone_number": "770-973-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300629110",
"telephone_number": "770-973-9765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY SMILES OF EAST COBB",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A",
"authorized_official_last_name": "ALBZREH",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "HUSAN",
"authorized_official_title_or_position": "DMD",
"authorized_official_telephone_number": "770-973-9765",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "126800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Healthtrackrx of Georgia LLC
- Healthwise Chiropractic
- Healthwise Internal Medicine
- Healthy at Home, Physical Therapy and Wellness, LLC.
- Healthy Collaborations LLC
- Healthy Solutions - the Chiropractic Wellness Center (Health Solutions)
- Healthy Steps Pediatrics, LLC
- Anna Rohan Healy, P.A.
- Kristen Healy, PA
- Lindsay Kathleen Healy, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.