Nazneen Shamim Dalwai, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012041 Issued in GA

Practice address

895 Indian Trail Lilburn Rd NW Ste 11
Lilburn, GA 30047-6871

Phone

(770) 279-5000

Fax

(770) 279-5001

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255366738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 DARROW DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972430",
            "telephone_number": "770-409-1397",
            "fax_number": "770-279-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 INDIAN TRAIL LILBURN RD NW STE 11",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476871",
            "telephone_number": "770-279-5000",
            "fax_number": "770-279-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALWAI",
        "first_name": "NAZNEEN",
        "middle_name": "SHAMIM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL SERVICES OF",
            "identifier": "9179415",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy M Crews, LCSW
• Jamie Gynette Cross-Lee, LPC
• Josie Kou, Kulah Curran, RN, MSN, CDE
• Jessica Cushman, DPT
• Moosa Dalwai, DMD
• Jessica Daly, RD,LD
• Ann Rosser Damon, PHARMD
• Anh-Thu Dang, DMD
• Hong Dang, FNP-C
• Chenee M Daniels, RPH

• 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.