Individual provider · Type 1 NPI

Brooke Mahdavi, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Atlanta, GA

NPI number 1184283111 Active

Practice location

955 Memorial Dr SE Ste 530
Atlanta, GA 30316-1566

Call (770) 800-5802 Map

Mailing address

55 Chester Ave SE
Atlanta, GA 30316-1201

Other practice locations

100 Carnegie Pl Ste 102, Fayetteville, GA 30214-3905 · (239) 940-0867

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN015346 (GA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1184283111

Brooke Mahdavi, DMD's National Provider Identifier is 1184283111, issued on Jun 12, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Atlanta, GA. The record was last updated on Mar 12, 2023.