Provider Demographics
NPI:1144954041
Name:MAKDA, NOOR-UL-HUDA SALEEM (DDS)
Entity type:Individual
Prefix:
First Name:NOOR-UL-HUDA
Middle Name:SALEEM
Last Name:MAKDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 AIRPORT COMMERCE DR APT 1337
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-0073
Mailing Address - Country:US
Mailing Address - Phone:281-818-1382
Mailing Address - Fax:
Practice Address - Street 1:5625 EIGER RD STE 135
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8979
Practice Address - Country:US
Practice Address - Phone:512-386-1229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice