Mouhannad Budeir, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013053 Issued in GA

Practice address

983 Peachtree Parkway Suite C
Cumming, GA 30041-7163

Phone

(770) 888-4444

Fax

(770) 888-4448

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avenue Dental LLC

  • Dental Clinic/Center
  • Cumming, GA
  • NPI 1609918622
  NPD (past) Authorized official
• Norcross Dental Associates

  • General Practice Dentistry
  • Norcross, GA
  • NPI 1144481987
  NPD (past)
• Smilebox Dental LLC

  • General Practice Dentistry
  • Cumming, GA
  • NPI 1326733536
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225170517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 PEACHTREE PARKWAY SUITE C",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417163",
            "telephone_number": "770-888-4444",
            "fax_number": "770-888-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 PEACHTREE PARKWAY SUITE C",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417163",
            "telephone_number": "770-888-4444",
            "fax_number": "770-888-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDEIR",
        "first_name": "MOUHANNAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Brown Bryan
• Elizabeth J Bryant, MS, OTR/L
• Ashley Bryson
• Jeffrey David Buchanan, PA-C
• Wanda G. Buchheit, PA-C
• Jared Buffie, D.C.
• Building Bridges Therapy Inc
• Anna Lucia Bulla, MD
• Brittany Rashanne Guy Bundy, MD
• Adam Buntaine, MD

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, 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 Jul 8, 2007; 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.