IndividualActive
Abboss Sharifzadeh
NPI 1265059364 · Dentist · Kennesaw, GA
Provider details
- NPI number
- 1265059364
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN016087 (GA)
Specialties & taxonomies
Dental Providers
Practice location
4090 Jiles Rd Nw
Kennesaw, GA 30144-1105
Phone: (217) 540-5100
Approximate (ZIP-level) locationGet directions
Mailing address
4090 Jiles Rd Nw
Kennesaw, GA 30144-1105
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2020-07-06
- Certified
- 2020-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.