Ali Ahmed, DDS
Individual provider Active NPI Dentist · Yukon, OK
NPI 1407644271 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1407644271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8069 (OK)
- Practice address
- 12444 NW 10TH St Ste 107
Yukon, OK 73099-5844 - Phone
- (405) 708-7702
- NPI assigned
- Apr 30, 2025
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8069 | OK | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8069 | OK | Yes |
Addresses
Primary practice location
12444 NW 10TH St Ste 107
Yukon, OK 73099-5844
Mailing address
121 S Poppleton St
Baltimore, MD 21201-1170
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.