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Manhattan Boulevard Dental Associates, A Professional Corporation

General Practice Dentistry in Marietta, GA · enumerated 2015 · authorized official Dimetry Cossich, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750750360

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Registry record

Entity type Organization (Type 2)
Legal business name Manhattan Boulevard Dental Associates, A Professional Corporation
Other name <Unavail>
Practice address 1090 Northchase Pkwy Se, Ste 150, Marietta, GA, 30067
Enumeration date Sep 24, 2015
Last updated in NPPES Sep 24, 2015

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223E0200X Endodontics Dental Providers Secondary
1223G0001X General Practice Dentistry Dental Providers Primary
1223P0221X Pediatric Dentistry Dental Providers Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

Authorized official

Name Dimetry Cossich
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Manhattan Boulevard Dental Associates, A Professional Corporation?
The NPI for Manhattan Boulevard Dental Associates, A Professional Corporation is 1750750360, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Manhattan Boulevard Dental Associates, A Professional Corporation?
NPPES lists Dimetry Cossich (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-24.