Provider Demographics
NPI:1972630598
Name:HAMZEHPOUR, AFSANEH (DMD)
Entity type:Individual
Prefix:MRS
First Name:AFSANEH
Middle Name:
Last Name:HAMZEHPOUR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 WESTWELL RUN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5893
Mailing Address - Country:US
Mailing Address - Phone:770-817-1007
Mailing Address - Fax:770-817-1006
Practice Address - Street 1:5025 WINTERS CHAPEL RD STE F
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30360-1700
Practice Address - Country:US
Practice Address - Phone:770-181-7100
Practice Address - Fax:770-817-1006
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0115481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice