Mobile Dental Solutions

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOBILE DENTAL SOLUTIONS

Practice address

4030 Tivoli Way
Alpharetta, GA 30004-4157

Phone

(678) 900-6371

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

April Houston

Title

Owner

Phone

(678) 900-6371

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1174022131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 TIVOLI WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 TIVOLI WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044157",
            "telephone_number": "678-900-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DENTAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-900-6371"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Mitchell, O.D
• Lamar Kirkland Mitchell, MSW
• Latonya Nichole Mitchell
• Synclaire Lashawn Mitchell, OTD, OTR/L
• Shapour Mobasser, M.D.
• Mobility Partners, LLC
• Moderna Surgical Center, LLC
• Silki Pankajkumar Modi, MD
• Modify Health Inc
• Edward A Modzeleski, CACII, CCS

• Dental Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.