Mobile Dental of Georgia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MOBILE DENTAL OF GEORGIA LLC

Practice address

6111 Peachtree Dunwoody Rd
BLDG E Ste 101
Atlanta, GA 30328-6049

Phone

(773) 756-5760

Fax

(773) 714-1229

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Stanford Plavin, MD

Title

President

Phone

(773) 756-5760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1952792053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DUNWOODY RD",
            "address_2": "BLDG E STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286049",
            "telephone_number": "773-756-5760",
            "fax_number": "773-714-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DUNWOODY RD",
            "address_2": "BLDG E STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286049",
            "telephone_number": "773-756-5760",
            "fax_number": "773-714-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "PLAVIN",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-756-5760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MM&MM Services
• Naghmeh Moadab, PSYD
• Mikayla Moaney
• Mirriam Khuduga Moate
• Mobile Anesthesia of Georgia LLC
• Mobile Healthcare Providers, LLC
• Mobile Pride Properties, LLC
• Mobility Bridge Transport LLC
• Mobility Designs
• Faraanak Mobini, PA-S

• Anesthesiology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.