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NPI Code Detail

MEDICARE: DR. MICHAEL TEHRANI DDS

MEDICARE:  DR. MICHAEL  TEHRANI  DDS
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
11223P0700XProsthodonticsDN122390GA

General Provider Information

NPI Number : 1548765118
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL TEHRANI DDS
Provider Business Mailing Address
First Line : 7775 GLISTEN AVE
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-2552
Country : US
Telephone Number : 214-478-0625
Fax Number :
Provider Business Practice Location Address
First Line : 5505 PEACHTREE DUNWOODY RD STE 470
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1717
Country : US
Telephone Number : 404-254-2709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 02/18/2025

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Directions to “ DR. MICHAEL TEHRANI DDS” Practice Location

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