MEDICARE: MAHMUDA AKTER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	12945	TN
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1609621077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHMUDA AKTER DDS

Provider Business Mailing Address
First Line	:	1738 COZUMEL CT
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-2751
Country	:	US
Telephone Number	:	615-692-4151
Fax Number	:

Provider Business Practice Location Address
First Line	:	8268 164TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1121
Country	:	US
Telephone Number	:	718-883-4046
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	12/12/2025

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