P Praxis·MD
● Active Type 2 · Organization

Manhattan Boulevard Dental Associates, A Professional Corporation

Dentist·Marietta, GA· NPI 1750750360 · Enumerated 2015 · 10 years on NPI
Manhattan Boulevard Dental Associates, A Professional Corporation is 1 of 4309 dentist organizations in Georgia.
NPI age
10 years
Enumerated 2015-09-24
Primary specialty
Dentist
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cossich
President
Last NPPES update
2015-09-24
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 13% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
1090 Northchase Pkwy Se, Ste 150
Marietta, GA 300676405
📞 7709165031
Mailing address
1708 Manhattan Blvd, Suite C
Harvey, LA 700583400
📞 5043615333

Authorized official

Dimetry Cossich, DDS
President
📞 5043615333

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    taxonomy 1223G0001X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    taxonomy 122300000X
  • Dentist
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    taxonomy 1223E0200X
  • Dentist
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    taxonomy 1223P0221X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    taxonomy 1223S0112X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Today's Dental Cosmetic and Family Dentistry
    Type code 3 recorded 2015-09-24

Practice context

Multi-provider organization. 4 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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