Active NPI
Fatima Tuz Zohra, B.D.S
- General Practice Dentistry
- Augusta, GA
National Provider Identifier
1689711467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN012794
- Practice address
- 1414 Marks Church Rd
Augusta, GA 30909-2430 - Phone
- (706) 738-6735
- Fax
- (706) 738-2630
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- 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 | DN012794 | GA | Primary |
Addresses
Primary practice location
1414 Marks Church Rd
Augusta, GA 30909-2430
Mailing address
208 Shady Oaks CT
Martinez, GA 30907-7916
Phone (706) 534-2381
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 |
|---|---|---|---|
| DN012794 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689711467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 SHADY OAKS CT",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309077916",
"telephone_number": "706-534-2381",
"fax_number": "480-626-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 MARKS CHURCH RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309092430",
"telephone_number": "706-738-6735",
"fax_number": "706-738-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOHRA",
"first_name": "FATIMA",
"middle_name": "TUZ",
"name_prefix": "Dr.",
"credential": "B.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN012794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- 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.