DR. FARID MOGHADDAM (NPI# 1184635484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184635484 |
| Entity Type | Individual |
| Full Name | DR. FARID MOGHADDAM |
| Credential | D.M.D. |
| Practice Address |
1715 Friendship Cir Ste 100 Cumming GA 30028-6918 |
| Practice Telephone | 6788609911 |
| Mailing Telephone | 6788609911 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN013337 | GA | Dental Providers |
| Street Address |
1715 FRIENDSHIP CIR STE 100 |
| City | CUMMING |
| State | GA |
| Zip Code | 30028-6918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1306131198 | Megin Murphy Ward | Speech-Language Pathologist | 4215 Pheasant Run Trace, Cumming, GA 30028 | 2011-06-09 |
| 1457873416 | Wal-mart East, Lp | Technician/Technologist | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-12 |
| 1265600654 | Kevin Allen Lowden | Dentist | 755 Mt Vernon Hwy Ne, Suite 440, Atlanta, GA 30028 | 2008-02-19 |
| 1730619222 | Amy Renee Profesorsky | Physical Therapist | 6030 Thrasher Ct, Cumming, GA 30028-2217 | 2017-06-15 |
| 1790395697 | Graciela Osses | Registered Nurse | 1945 Dr Bramblett Rd, Cumming, GA 30028-2852 | 2020-08-05 |
| 1033541735 | Kimberley A Linert, Inc | Optometrist | 525 Tribble Gap Rd, #1305, Cumming, GA 30028-2937 | 2013-08-05 |
| 1891044160 | Tabitha Anne Kephart | Specialist/Technologist, Other | 4485 Hubert Martin Rd, Cumming, GA 30028-3269 | 2012-09-02 |
| 1487073904 | North Georgia Therapy for Kids, LLC | Clinic/Center | 4655 Dahlonega Hwy, Cumming, GA 30028-3304 | 2014-04-11 |
| Find all providers in zip 30028 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639550171 | Lauren Freitag | Dentist | 360 Dahlonega St, Cumming, GA 30040-2410 | 2015-06-10 |
| 1447655212 | Sean Orourke Sr. | Dentist | 757 Peachtree Pkwy, Cumming, GA 30041-9354 | 2014-10-23 |
| 1043619299 | Zena Sadik-yosif | Dentist | 918 Market Place Blvd, Cumming, GA 30041-7920 | 2014-08-13 |
| 1376836403 | Quoc Hoa Tran | Dentist | 5920 Parkway North Blvd, Suite 100, Cumming, GA 30040-8257 | 2011-05-23 |
| 1457657439 | Dental Town, LLC | Dentist | 410 Peachtree Parkway, Building 400, Ste. 4250, Cumming, GA 30041 | 2011-02-08 |
| 1356579718 | Susan Podray | Dentist | 3195 Trammel Rd, Suite 400, Cumming, GA 30041-1335 | 2009-06-24 |
| 1326202979 | Khyati Dhiren Shahpatel | Dentist | 876 Buford Rd, Cumming, GA 30041-2716 | 2008-07-14 |
| 1710171400 | Jason Matthew Ames | Dentist | 202 Tribble Gap Road, 104, Cumming, GA 30040 | 2007-09-05 |
| 1013038884 | Lauren Wilkinson Shefrin | Dentist | 1175 Buford Highway, Cumming, GA 30131 | 2007-04-02 |
| 1932115102 | Page P Barden | Dentist | 1024 Market Place Blvd, Cumming, GA 30041-7921 | 2006-07-31 |
| Find all providers in CUMMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.