Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215422498 Individual Practitioner Male Practitioner

Dr. Samir A. Abbas , DMD

Dentist - General Practice • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Samir Abbas, DMD is a registered healthcare professional specializing in Dentist - General Practice in Marietta, GA. Practice services are available at 58 SHAWNEE TRL SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

58 Shawnee Trl Se

Marietta, GA 300677316

Telephone 7709736520
Fax 7709731515

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
162 Specialists

Practicing in Marietta, 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

CMS Verified: 2026-04-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN122771

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC 9288

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DN23379

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

1 Associated Practitioners
Dr. Thomas Mazzuchelli , DMD

Dentist - General Practice

NPI 1003088592

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 09, 2026

Registered at 58 SHAWNEE TRL SE, MARIETTA, GA 300677316 (Tel: 7709736520)

📍
Updated Business Mailing Address April 09, 2026

Registered at 58 SHAWNEE TRL SE, MARIETTA, GA 300677316 (Tel: 7709736520)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2026

Dentist (License #DN122771 in GA)

📍
Updated Business Mailing Address March 15, 2022

Registered at 2214 W PALMETTO ST, FLORENCE, SC 295013901 (Tel: 8436274076)

NPI Profile Active June 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2018

Registered at 1 FREEDOM WAY, AUGUSTA, GA 309046258 (Tel: 7067330188)

📍
Updated Business Mailing Address June 28, 2018

Registered at 1 FREEDOM WAY, AUGUSTA, GA 309046258 (Tel: 7067330188)

👤
Provider Name / Credentials Updated June 28, 2018

Recorded as SAMIR ABBAS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2018

Dentist (License #DN23379 in FL)

🟢
Initial NPI Registration & Enumeration June 28, 2018

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: 1215422498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2018
Last Update: April 09, 2026
Sole Proprietor: No

Mailing Address

58 Shawnee Trl Se

Marietta, GA 300677316

Phone: 7709736520

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.