Dr. Shannon Fatehi Thorsteinson, D.M.D.
Dentist, General Practice in Atlanta, GA. Individual provider (NPI-1).
NPI number1528334331
StatusActive
Last updated in NPPESJun 19, 2013
Details
- NPI
- 1528334331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Fatehi Thorsteinson
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2012
- Last updated
- Jun 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN014438 | GA | Yes |
Practice location
3490 Piedmont Rd Ne Ste 110Atlanta, GA 30305-4808
Phone 404-266-1300
Mailing address
3490 Piedmont Rd Ne Ste 110Atlanta, GA 30305-4808
Phone 404-229-4318
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