Amr A Abouzeid, BDS, MSD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

S222 Issued in MN

Practice address

3959 2ND St S Ste 207208
Saint Cloud, MN 56301-3876

Phone

(320) 204-5291

NPI assigned

Aug 12, 2024

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2024.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1508697483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 2ND ST S STE 207208",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013876",
            "telephone_number": "320-204-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 2ND ST S STE 207208",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013876",
            "telephone_number": "320-204-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUZEID",
        "first_name": "AMR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MN",
            "license": "S222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Asha S Abukar

• All providers in Saint Cloud, MN
• Prosthodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.