Naadia Soraya Ahmed, DMD
Individual provider Active NPI General Practice Dentistry · Milford, CT
NPI 1962022863 · NPPES record last updated Jun 5, 2021
Key facts
- NPI
- 1962022863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13042 (CT)
- Practice address
- 55 Old Gate LN
Milford, CT 06460-3612 - Phone
- (203) 878-6699
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200721002562 | CT | Order and Referring Only - Dentist |
4082038278 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12753 | CT | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensitive Care Cosmetic & Family Dentistry LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 13042 | CT | Yes |
Addresses
Primary practice location
55 Old Gate LN
Milford, CT 06460-3612
Mailing address
55 Old Gate LN
Milford, CT 06460-3612
Phone (203) 878-6699
Other providers in Milford, CT
- Advanced Mobile Imaging, LLC
- Advanced Mobile Imaging, LLC
- Advanced Telemedicine LLC
- Elliot David Agin
- Moin Ahmed
- Kiersten Aichinger
- Alan J Malitz MD PC
- Alison Albino
- Christopher Albino
- Aldar of Connecticut
All providers in Milford, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.