Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619655230 Individual Practitioner Male Practitioner

Ivan Machai Warner

Dentist - General Practice • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Ivan Warner is a registered healthcare professional specializing in Dentist - General Practice in Marietta, GA. Practice services are available at 1225 JOHNSON FERRY RD STE 660 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1225 Johnson Ferry Rd Ste 660

Marietta, GA 300682772

Telephone 7709736494
Associated Practice Facility / Clinic
🏢 Ga Southern Dental Llc Facility NPI 1255285607

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: 2024-07-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123493

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. Christopher Anderson , DMD

Dentist - General Practice

NPI 1265452569

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 17, 2024

Registered at 1225 JOHNSON FERRY RD STE 660, MARIETTA, GA 300682772 (Tel: 7709736494)

📍
Updated Business Mailing Address July 17, 2024

Registered at 1225 JOHNSON FERRY RD STE 660, MARIETTA, GA 300682772 (Tel: 7709736494)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2024

Dentist (License #DN123493 in GA)

NPI Profile Active July 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2023

Registered at 345 E 24TH ST, NEW YORK, NY 100104020 (Tel: 2129989800)

📍
Updated Business Mailing Address July 05, 2023

Registered at 345 E 24TH ST, NEW YORK, NY 100104020 (Tel: 2129989800)

👤
Provider Name / Credentials Updated July 05, 2023

Recorded as IVAN WARNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 05, 2023

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: 1619655230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2023
Last Update: July 17, 2024
Sole Proprietor: No

Mailing Address

1225 Johnson Ferry Rd Ste 660

Marietta, GA 300682772

Phone: 7709736494

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.