Active NPIIndividual provider

Dr. Azma Ahmed, DDS

Dentist in Portland, Oregon

NPI Number1417341983
Practice location
12750 SE Stark St Bldg E, Portland, OR 97233-1539
Fax
971-256-3277
Last updated
November 17, 2020

Azma Ahmed is a Dentist based in Portland, OR. Azma Ahmed practices in Portland, OR and has the professional credentials of DDS. The NPI Number for Azma Ahmed is 1417341983 and holds a License No. 33934 (TX). The current practice location address for Azma Ahmed is 12750 SE Stark St Bldg E, Portland, OR 97233-1539 and can be reached out via phone at 971-347-3009 and via fax at 971-256-3277.

Provider Profile Details

NPI Number
1417341983
Provider Name
Azma Ahmed
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
12750 SE Stark St Bldg E, Portland, OR 97233-1539
Phone Number
971-347-3009
Fax Number
971-256-3277
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2015
Last Update Date
November 17, 2020
Certification Date
November 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
12750 SE Stark St Bldg E
Portland, OR 97233-1539
State
Oregon
Zip
97233-1539
Phone Number
971-347-3009
Fax Number
971-256-3277
Portland, OR 97233Get directions →

Provider Business Mailing Address Details

Address
1776 SW Madison St
Portland, OR 97205-1715
City
Portland
State
OR
Zip
97205-1715
Phone Number
503-224-1044
Fax Number
503-621-2235

License Information

License Number (1)
33934
License State (1)
TX
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DE60540896
License State (2)
WA
Taxonomy (2)
Dentist · 122300000X
License Number (3)
D10191
License State (3)
OR
Taxonomy (3)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Azma Ahmed, DDS?

The NPI number of Dr. Azma Ahmed, DDS is 1417341983. It was assigned on March 23, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Azma Ahmed, DDS?

Dr. Azma Ahmed, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in TX under license number 33934.

Where does Dr. Azma Ahmed, DDS practice?

The practice location is 12750 SE Stark St Bldg E, Portland, OR 97233-1539. The office can be reached at 971-347-3009 (phone) or 971-256-3277 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417341983 directly on the NPPES registry website.

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