Ahmed Al Dulaimi, DMD
Individual provider Active NPI General Practice Dentistry · Boiling Springs, SC
NPI 1770069874 · NPPES record last updated Jul 12, 2018
Key facts
- NPI
- 1770069874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9169 (SC)
- Practice address
- 2210 Boiling Springs Rd
Boiling Springs, SC 29316-5302 - Phone
- (864) 699-9858
- NPI assigned
- Jul 12, 2018
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professional of South Carolina, P.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9169 | SC | Yes |
Addresses
Primary practice location
2210 Boiling Springs Rd
Boiling Springs, SC 29316-5302
Mailing address
3 Caliston CT
Greenville, SC 29615-3993
Phone (864) 283-2190
Other providers in Boiling Springs, SC
- Kayla Abeid
- Active SC One, Inc.
- James Gilmour Agnew
- Angelhands of the Upstate
- Angelic Homecare
- Debra D Atkins
- Taylor Ballard
- Jennifer G. Baugh
All providers in Boiling Springs, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2018. 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.