Azeem Syed Mohiuddeen, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN28071 Issued in FL

Practice address

1395 Center Dr RM D1-19
Gainesville, FL 32610-3006

Phone

(352) 273-7846

Fax

(352) 273-7848

NPI assigned

Jul 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1184304388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 SW 81ST TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085630",
            "telephone_number": "352-256-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR RM D1-19",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-273-7846",
            "fax_number": "352-273-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDEEN",
        "first_name": "AZEEM",
        "middle_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN28071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameel Mohammed, OTR/L
• Megan Mohammed, MS, RD, LDN, CNSC
• Mohammed Abdelmoneim Hassan Mohammed, MD
• Tan Lucien Hassan Mohammed, MD
• Wajdi Mohammed, BDS
• Alicia M. Mohr, M.D.
• Jennifer Anne Moises
• Sanaullah Mojaddedi, M.D.
• Nohemi Charlot Mojica Rodriguez, FNP-BC
• Alexandre Philippe Mokbel, DO

• Periodontics in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.