Provider Demographics
NPI:1265846455
Name:JUMAILI, ALI (DDS)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:JUMAILI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ALI
Other - Middle Name:
Other - Last Name:JUMAILI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:5215 WINDWARD PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3887
Mailing Address - Country:US
Mailing Address - Phone:770-863-8592
Mailing Address - Fax:
Practice Address - Street 1:5215 WINDWARD PKWY STE D
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-3887
Practice Address - Country:US
Practice Address - Phone:636-332-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1222431223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1265846455Medicaid