Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417192964 Individual Practitioner Male Practitioner

Dr. Mantique Johnson , DDS

Dentist - General Practice • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mantique Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Atlanta, GA. Practice services are available at 75 MARIETTA ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 Marietta St Nw
Suite 100

Atlanta, GA 303032883

Telephone 4045770868
Associated Practice Facility / Clinic
🏢 C S Dental Facility NPI 1326215237

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
383 Specialists

Practicing in Atlanta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013821

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Stanley Carter , DDS

Dentist - General Practice

NPI 1003030941

Doctor of Dental Surgery

Dr. Chalasani Venkatadri , DMD

Dentist - General Practice

NPI 1174741953

Doctor of Dental Medicine

Dr. Samuel Poindexter , DMD

Dentist - General Practice

NPI 1518971878

Doctor of Dental Medicine

Dr. Ellison Smith , DDS

Dentist - General Practice

NPI 1720169451

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2008

Registered at 75 MARIETTA ST NW, SUITE 100, ATLANTA, GA 303032883 (Tel: 4045770868)

📍
Updated Business Mailing Address December 12, 2008

Registered at 75 MARIETTA ST NW, SUITE 100, ATLANTA, GA 303032883 (Tel: 8047206797)

👤
Provider Name / Credentials Updated December 12, 2008

Recorded as MANTIQUE JOHNSON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2008

Dentist (License #DN013821 in GA)

🟢
Initial NPI Registration & Enumeration December 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417192964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2008
Last Update: December 12, 2008
Sole Proprietor: No

Mailing Address

75 Marietta St Nw, Suite 100

Atlanta, GA 303032883

Phone: 8047206797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.