Dr. Moiz Mohammed Abdul PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. MOIZ MOHAMMED ABDUL PLLC

Practice address

2014 N Highway 78 Ste 150
Wylie, TX 75098-6091

Phone

(972) 442-6879

Fax

(972) 429-7923

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Garza

Title

Credentialing Manager

Phone

(469) 706-7057

Specialties & licenses 1

Addresses

Other names 1

• Wylie Smiles Doing business as

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1316595168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 N HIGHWAY 78 STE 150",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986091",
            "telephone_number": "972-442-6879",
            "fax_number": "972-429-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 N HIGHWAY 78 STE 150",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986091",
            "telephone_number": "972-442-6879",
            "fax_number": "972-429-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MOIZ MOHAMMED ABDUL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-706-7057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wylie Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Wylie, TX
• Providers in Wylie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.