Monira Momtaj Uddin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN013411 Issued in GA

Practice address

2646 Staunton Dr
Duluth, GA 30097-5300

Phone

(404) 797-5582

NPI assigned

May 4, 2007

Last updated

Mar 21, 2017By the provider in NPPES

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

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

Practice roles

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.

• Georgia Dental Professionals, PC

  dba Apalachee Family Dental

  • General Practice Dentistry
  • Dacula, GA
  • NPI 1013388552
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1871705616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 STAUNTON DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975300",
            "telephone_number": "404-797-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 STAUNTON DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975300",
            "telephone_number": "404-797-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MONIRA",
        "middle_name": "MOMTAJ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghean Turner
• Pamela Rene Turner, MD
• Twinkle Pediatrics, LLC
• TWT Speech Therapy LLC
• Jasmine A Tyson, PHD
• Lindy M Udwin, M.ED,CCC
• Stephen C Ume, MD
• Matthew Adrian Underwood, PT, DPT
• Universal Medical Supply
• Universal Treatment Services

• Dentist in Duluth, GA
• Providers in Duluth, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.