Active NPIIndividual providerSole proprietor

Dr. Kereshmeh Ahmadi, DMD

Dentist in San Diego, California

NPI Number1710265673
Practice location
3330 3RD Ave Ste 200, San Diego, CA 92103-5639
Fax
—
Last updated
September 15, 2022

Kereshmeh Ahmadi is a Dentist based in San Diego, CA. Kereshmeh Ahmadi practices in San Diego, CA and has the professional credentials of DMD. The NPI Number for Kereshmeh Ahmadi is 1710265673 and holds a License No. 60569 (CA). The current practice location address for Kereshmeh Ahmadi is 3330 3RD Ave Ste 200, San Diego, CA 92103-5639 and can be reached out via phone at 619-816-2128.

Provider Profile Details

NPI Number
1710265673
Provider Name
Kereshmeh Ahmadi
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3330 3RD Ave Ste 200, San Diego, CA 92103-5639
Phone Number
619-816-2128
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Other Names
Dr. Kerry Ahmadi, DMD (Other Name)
Provider Enumeration Date
July 26, 2011
Last Update Date
September 15, 2022
Certification Date
August 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3330 3RD Ave Ste 200
San Diego, CA 92103-5639
Zip
92103-5639
Phone Number
619-816-2128
San Diego, CA 92103Get directions →

Provider Business Mailing Address Details

Address
3330 3RD Ave Ste 200
San Diego, CA 92103-5639
City
San Diego
State
CA
Zip
92103-5639
Phone Number
619-285-0950

License Information

License Number
60569
License State
CA
Taxonomy
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. Kereshmeh Ahmadi, DMD?

The NPI number of Dr. Kereshmeh Ahmadi, DMD is 1710265673. It was assigned on July 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Kereshmeh Ahmadi, DMD?

Dr. Kereshmeh Ahmadi, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 60569.

Where does Dr. Kereshmeh Ahmadi, DMD practice?

The practice location is 3330 3RD Ave Ste 200, San Diego, CA 92103-5639. The office can be reached at 619-816-2128 (phone).

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 1710265673 directly on the NPPES registry website.

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