Healthcare Provider Details

I. General information

NPI: 1407214752
Provider Name (Legal Business Name): GEORGI ZOHRABYAN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 SATELLITE BLVD STE 401
DULUTH GA
30097-5239
US

IV. Provider business mailing address

1815 SATELLITE BLVD STE 401
DULUTH GA
30097-5239
US

V. Phone/Fax

Practice location:
  • Phone: 770-813-1200
  • Fax:
Mailing address:
  • Phone: 770-813-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1857137
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN015039
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: