Ak Pelham Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

04431 Issued in NH

Legal business name

AK PELHAM DENTAL GROUP PLLC

Practice address

150 Bridge St Ste B
Pelham, NH 03076-3426

Phone

(857) 540-0135

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ahmed Hamada Ibrahim, DMD

Title

Owner

Phone

(857) 540-0135

Specialties & licenses 1

Addresses

Other names 1

• Michael Yannetti Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1043798168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BRIDGE ST STE B",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRIDGE ST STE B",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763426",
            "telephone_number": "857-540-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK PELHAM DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "HAMADA IBRAHIM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-540-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "04431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Yannetti",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Janet Abreu, APRN
• Jessica Lynne Amidon, CPHT
• Anam Vij PC
• Elizabeth Andrews, LMT, MMP
• Jatinder Aujla, MD
• Axis Pelvic Floor Therapy and Wellness, LLC

• Dentist in Pelham, NH
• Providers in Pelham, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.