Active NPI
Mohammed Nazmul Huq, D.D.S
- General Practice Dentistry
- Lithia Springs, GA
National Provider Identifier
1346466612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012722
- Practice address
- 3383 Veterans Memorial Hwy
Lithia Springs, GA 30122-1450 - Phone
- (770) 732-9222
- Fax
- (770) 732-9778
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN012722 | GA | Primary |
Addresses
Primary practice location
3383 Veterans Memorial Hwy
Lithia Springs, GA 30122-1450
Mailing address
2106 Brodick LN
Lithia Springs, GA 30122-6892
Phone (404) 933-3592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012722 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346466612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 BRODICK LN",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301226892",
"telephone_number": "404-933-3592",
"fax_number": "770-732-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3383 VETERANS MEMORIAL HWY",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301221450",
"telephone_number": "770-732-9222",
"fax_number": "770-732-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUQ",
"first_name": "MOHAMMED",
"middle_name": "NAZMUL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia Springs, GA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.