MUJEEB DDS,PA
NPI 1801219159
Point of Service in Melbourne, FL

Q: What is Mujeeb Dds,pa's NPI number?

The NPI number for Mujeeb Dds,pa is 1801219159. It was assigned to this organization in the NPPES registry on January 22, 2014.

Q: What is Mujeeb Dds,pa's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Q: When was this NPI record last updated?

The NPPES record for Mujeeb Dds,pa was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2014

3226 LAKE WASHINGTON RD, # 16, MELBOURNE, FL 32934(321) 255-1991(321) 752-0011 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mujeeb Dds,pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUJEEB DDS,PA (NPI 1801219159) is a healthcare organization registered as a point of service in Melbourne, Florida and active in the NPI registry since January 2014. The organization lists Alma Balchuck, Manager, as its authorized official.

NPPES Registry Identity

NPI1801219159

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameMUJEEB DDS,PA

Location Address3226 LAKE WASHINGTON RD, # 16Melbourne, FL 32934-7620

Mailing Address3226 Lake Washington Rd, # 16Melbourne, FL 32934-7620 · (321) 255-1991 · Fax (321) 752-0011

Phone(321) 255-1991

Fax(321) 752-0011

Organization SubpartYesParent: New Image Dentistry

Authorized OfficialAlma BalchuckManager · (321) 255-1991

Enumeration DateJanuary 22, 2014

✔ NPI 1801219159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in FL · DN13401

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

3226 LAKE WASHINGTON RD, Melbourne, FL 32934

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMMED ABDUL MUJEEB DDS

Dentist (General Practice)

3226 LAKE WASHINGTON RD, SUITE 16
MELBOURNE, FL 32934

Brevard County (321) 255-1991

JOSE ADRIAN GUERRA CHICO DMD

Dentist

3226 LAKE WASHINGTON RD
MELBOURNE, FL 32934

Brevard County (321) 255-1991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mujeeb Dds,pa's NPI number?

The NPI number for Mujeeb Dds,pa is 1801219159. It was assigned to this organization in the NPPES registry on January 22, 2014.

Where is Mujeeb Dds,pa located?

Mujeeb Dds,pa is located at 3226 Lake Washington Rd # 16, Melbourne, FL 32934. The listed phone number is (321) 255-1991.

What is Mujeeb Dds,pa's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Mujeeb Dds,pa was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.