Ejaz Aftab Ahmad, DDS
Individual provider Active NPI General Practice Dentistry · Munster, IN
NPI 1891535548 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1891535548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12014419A (IN)
- Practice address
- 417 Ridge Rd Ste a
Munster, IN 46321-1571 - Phone
- (219) 785-8830
- NPI assigned
- May 30, 2024
- 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 |
|---|---|---|---|
| 12014419A | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12014419A | IN | Yes |
Addresses
Primary practice location
417 Ridge Rd Ste a
Munster, IN 46321-1571
Mailing address
417 Ridge Rd Ste a
Munster, IN 46321-1571
Other providers in Munster, IN
- Advanced Health Services, Inc.
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- Advanced Pain Treatment of Chicago SC
- Agape Family Chiropractic LLC
- Maria Teresa Aguirre
- Imran Ahmad
- Mai Ahmed
- Olfat Ahmed
- Anjali Srivastava Ahn
- Ender A Akan
All providers in Munster, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. 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.