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Active NPI 1497404917 Individual Practitioner Female Practitioner

Mehtab Manji

Dentist - General Practice • Tucker, GA

Professional Overview & Biography Verified Profile Summary

Mehtab Manji is a registered healthcare professional specializing in Dentist - General Practice in Tucker, GA. Practice services are available at 6292 LAWRENCEVILLE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6292 Lawrenceville Hwy

Tucker, GA 300841870

Telephone 5519965635

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tucker, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
31 Specialists

Practicing in Tucker, 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: 2023-10-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123245

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Stephanie Tran

Student in an Organized Health Care Education/Training Program

NPI 1093456030
Erez Arusi

Student in an Organized Health Care Education/Training Program

NPI 1265061030
Dr. Lauren Hilton , DMD

Dentist - General Practice

NPI 1285488254

Doctor of Dental Medicine

Jaya Gamble

Student in an Organized Health Care Education/Training Program

NPI 1295439545
Dr. Samip Thakore , DMD

Student in an Organized Health Care Education/Training Program

NPI 1386330157

Doctor of Dental Medicine

NPI 1598460347

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 08, 2023

Registered at 6292 LAWRENCEVILLE HWY, TUCKER, GA 300841870 (Tel: 5519965635)

NPI Profile Active March 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2022

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519965635)

📍
Updated Business Mailing Address March 22, 2022

Registered at 2914 SILVERMERE LN, DULUTH, GA 300974324

👤
Provider Name / Credentials Updated March 22, 2022

Recorded as MEHTAB MANJI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 2022

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: 1497404917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2022
Last Update: October 08, 2023
Sole Proprietor: Yes

Mailing Address

2914 Silvermere Ln

Duluth, GA 300974324

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.