Monira M Uddin D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013411 Issued in GA

Legal business name

MONIRA M UDDIN D.D.S., P.C.

Doing business as

Lilburn Smiles

Practice address

629 Beaver Ruin Rd NW
Suite a
Lilburn, GA 30047-3401

Phone

(770) 925-4773

Fax

(770) 925-8773

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Monira M Uddin, D.D.S.

Title

Ceo

Phone

(770) 925-4773

Specialties & licenses 1

Addresses

Other names 1

• Lilburn Smiles Doing business as

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1215168380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW",
            "address_2": "SUITE A",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-925-4773",
            "fax_number": "770-925-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW",
            "address_2": "SUITE A",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-925-4773",
            "fax_number": "770-925-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIRA M UDDIN D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MONIRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-925-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilburn Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliet C Moghalu
• Abubakar Mohamed
• Mohamed Ame Mohamed, CNA
• Salaado Mohamud
• Almas Soyal Momin, FNP-C
• Dyeseah Irene Montgomery
• Maxine B Moore, RD, LD
• Alfredo Morales Celedon, LPC, NCC
• Maria Morales, FNP
• Rickey Morgan II, LMT, MMP

• General Practice Dentistry in Lilburn, GA
• Providers in Lilburn, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.