Mohamed Elgabrouny, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN123153 Issued in GA

Practice address

1382 S Park St
Carrollton, GA 30117-4411

Phone

(678) 664-3260

NPI assigned

Jul 4, 2023

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1932886652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 PEACHTREE ST NE APT 16G",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303084137",
            "telephone_number": "908-720-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174411",
            "telephone_number": "678-664-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGABROUNY",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123153",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Ross Edmonds, APC
• Alanna Edwards, O.D.
• Shatia Edwards, DO
• Eliana Ege, MD
• Ashlynn Deese Eison, M. ED., CCC-SLP
• Elite Healthcare Physical Medicine
• Meredith Jane Ellis, APC, LPC
• Holly Ely, CRNA
• Enchantment Nursing
• Kayla England, PMH NP

• Dentist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.