IndividualActive
Brooke Mahdavi, DMD
NPI 1184283111 · Orthodontics and Dentofacial Orthopedics Dentistry · Atlanta, GA
Provider details
- NPI number
- 1184283111
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN015346 (GA)
Specialties & taxonomies
Dental Providers
Practice location
955 Memorial Dr Se Ste 530
Atlanta, GA 30316-1566
Phone: (770) 800-5802
Approximate (ZIP-level) locationGet directions
Mailing address
55 Chester Ave Se
Atlanta, GA 30316-1201
Additional practice locations (1)
- 100 Carnegie Pl Ste 102Fayetteville, GA 30214-3905Phone: (239) 940-0867
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2023-03-12
- Certified
- 2023-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.