Maydda Qureshi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN016091. Issued in GA

Practice address

410 N Jeff Davis Dr
Fayetteville, GA 30214-1630

Phone

(678) 228-8348

NPI assigned

Jun 29, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1952928699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 GABLES WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293225",
            "telephone_number": "404-563-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141630",
            "telephone_number": "678-228-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "MAYDDA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016091.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Care Adult Day Habilitation
• Quantum Greenes Innovations LLC
• Quick Draw Corp.
• Lashonya Quince
• Nicole E Quinn, M.D.
• Noor Ul Ain Munira Naz Qureshi, MD
• R&K Home Healthcare Agency
• Ashley Elizabeth Radcliffe, AU.D
• Linda H Radcliffe, MSP, CCC-SLP
• Kim David Ragan, RPH

• General Practice Dentistry in Fayetteville, GA
• Providers in Fayetteville, 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 Jun 29, 2020; 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.