Provider Demographics
NPI:1205538899
Name:ABDULLAH MAHMUD DDS PLLC
Entity type:Organization
Organization Name:ABDULLAH MAHMUD DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMUD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-918-2929
Mailing Address - Street 1:1512 SUNFLOWER FIELD PL
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-7624
Mailing Address - Country:US
Mailing Address - Phone:704-918-2929
Mailing Address - Fax:
Practice Address - Street 1:4008 MITCHELL MILL RD STE 108
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-8895
Practice Address - Country:US
Practice Address - Phone:919-453-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental