Anwar Ahmad, DMD
Individual provider Active NPI Dentist · Alexandra, VA
NPI 1447335997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447335997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0401410145 (VA)
- Practice address
- 1707 Osage Street
Suite # 402
Alexandra, VA 22302 - Phone
- (703) 578-1700
- Fax
- (703) 578-0303
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 0401410145 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dental Care PLLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401410145 | VA | Yes |
Addresses
Primary practice location
1707 Osage Street
Suite # 402
Alexandra, VA 22302
Mailing address
1707 Osage Street
Suite # 402
Alexandra, VA 22302
Phone (703) 578-1700
Other providers in Alexandra, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.