Jenan M a S a Alahmad, BDS

Individual provider Active NPI Pediatric Dentistry · Richmond, VA

NPI 1427780964 · NPPES record last updated Jun 24, 2022

Key facts

NPI
1427780964
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
0442000444 (VA)
Practice address
800 Semmes Ave Apt 803
Richmond, VA 23224-2367
Phone
(804) 263-8870
NPI assigned
Jun 24, 2022
Sex
Female
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
0442000444VAMDPediatric Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0442000444 VA Yes

Addresses

Primary practice location

800 Semmes Ave Apt 803
Richmond, VA 23224-2367

Mailing address

800 Semmes Ave Apt 803
Richmond, VA 23224-2367
Phone (804) 263-8870

Other practice location 1

VCU School of Dentistry
Perkinson Suite 3100
Richmond, VA 23298
Phone (804) 263-8870

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address alahmadj@vcu.edu Health Information Exchange (HIE) VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

Other providers in Richmond, VA

All providers in Richmond, VA · Pediatric Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.