Abdirahman Ugas Ahmed, DDS

Individual provider Active NPI General Practice Dentistry · Minneapolis, MN

NPI 1295055119 · NPPES record last updated Jun 2, 2010

Key facts

NPI
1295055119
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D12794 (MN)
Practice address
2808 Silver LN NE
Apt 301
Minneapolis, MN 55421-3468
Phone
(612) 201-2649
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D12794MNMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12794 MN Yes

Addresses

Primary practice location

2808 Silver LN NE
Apt 301
Minneapolis, MN 55421-3468

Mailing address

2808 Silver LN NE
Apt 301
Minneapolis, MN 55421-3468
Phone (612) 201-2649

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · General Practice Dentistry in Minnesota

Sources for this page

Verify at the official NPI Registry.