MEDICARE: DR. SARA SELINA MOUZI-ESCOBEDO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	25563	TX
2	122300000X	Dentist	DN122410	GA

General Provider Information

NPI Number	:	1336451467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA SELINA MOUZI-ESCOBEDO D.D.S.

Provider Business Mailing Address
First Line	:	4241 DICKSON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-7352
Country	:	US
Telephone Number	:	832-715-1595
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 MEMORIAL DR SE STE 534
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-1566
Country	:	US
Telephone Number	:	48-364-5954
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	08/23/2023

Similar Medicare Providers

1184283111 — BROOKE MAHDAVI DMD
Practice Location Address:

955 MEMORIAL DR SE STE 530
ATLANTA, GA
30316-1566

Practice Phone: 770-800-5802
Practice Fax:

1356657621 — RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.
Practice Location Address:

1150 LAKE HEARN DR NE , STE 100
ATLANTA, GA
30342-1566

Practice Phone: 404-847-9850
Practice Fax: 404-847-9261

1033835806 — MRS. DEANA STACKHOUSE HAMILTON LPC, CPCS, MAMFT
Practice Location Address:

1566 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
30318-5045

Practice Phone: 678-701-8584
Practice Fax:

1073471827 — AUDREY KEITH
Practice Location Address:

1030 FAYETTEVILLE RD SE
ATLANTA, GA
30316-2921

Practice Phone: 404-486-9034
Practice Fax:

1003548868 — DR. NIARIAH HOPE FIELDS DDS
Practice Location Address:

2325 GLENWOOD AVE SE
ATLANTA, GA
30316-2362

Practice Phone: 678-800-8316
Practice Fax:

1801507231 — PATRICIA CAROLINA PEREZ ASUAJE RDN
Practice Location Address:

1753 FLINTWOOD DR SE
ATLANTA, GA
30316-4129

Practice Phone: 404-483-2053
Practice Fax:

Directions to “ DR. SARA SELINA MOUZI-ESCOBEDO D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.