M.Mohamed Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

M.MOHAMED DENTAL CORP

Doing business as

fairoakssmile

Practice address

4826 San Juan Ave
Fair Oaks, CA 95628-4719

Phone

(916) 536-9410

NPI assigned

Nov 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmoud Mohamed, DDSNPI 1871654038

Title

Dentist

Phone

(916) 536-9410

Specialties & licenses 1

Addresses

Other names 1

• fairoakssmile Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahmoud Abdelmohsen Bahr Mohamed, DDS

  • Dentist
  • Fair Oaks, CA
  • NPI 1871654038
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1063236891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 SAN JUAN AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284719",
            "telephone_number": "916-536-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4826 SAN JUAN AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284719",
            "telephone_number": "916-536-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.MOHAMED DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-536-9410",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "fairoakssmile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Michelle Luna, L.M.F.T.
• Sasha Lussier, L.AC.
• Luxottica of America Inc.
• Lymphedema Treatment Center Inc
• Irwin None Lyons, MD
• Macarius, Max & Daniel, LLC
• Leslie Machado
• Mackenzie LLC
• Matthew Scott Maclellan
• Madison Modern Dentistry, Inc

• Dental Clinic/Center in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.