Afshan H Ahmed, DDS

Individual provider Active NPI General Practice Dentistry · Springfield, OH

NPI 1356466528 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1356466528
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
021615 (OH)
Practice address
4950 Middle Urbana Rd
Springfield, OH 45503-6040
Phone
(937) 399-3800
Fax
(937) 399-3801
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170316002073 OH Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
3375861065

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
021615OHMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 021615 OH Yes

Addresses

Primary practice location

4950 Middle Urbana Rd
Springfield, OH 45503-6040

Mailing address

4950 Middle Urbana Rd
Springfield, OH 45503-6040
Phone (937) 399-3800

Other providers in Springfield, OH

All providers in Springfield, OH · General Practice Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.