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

Dr. Azma Ahmed, DDS is a Dentist based in Portland, OR. Dr. Azma Ahmed, DDS holds the professional credentials of DDS. The NPI number for Dr. Azma Ahmed, DDS is 1417341983 and holds license No. 33934 (TX). The current practice location address is 12750 SE Stark St Bldg E, Portland, OR 97233-1539 and the office can be reached by phone at 971-347-3009 and by fax at 971-256-3277. The NPI was assigned on March 23, 2015 and the record was last updated in NPPES on November 17, 2020.

●Provider Profile Details

NPI Number
1417341983
Provider Name
Azma Ahmed
Credential
DDS
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Enumeration Date
March 23, 2015
Last Update Date
November 17, 2020
Certification Date
November 17, 2020
NPI Status
Active

◉Business Practice Location Address

Address
12750 SE Stark St Bldg E
Portland, OR 97233-1539
State
Oregon
ZIP
97233-1539
Country
US
Phone Number
971-347-3009
Fax Number
971-256-3277

Get directions →

✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist122300000XNo33934TX
Dentist122300000XNoDE60540896WA
Dentist122300000XYesD10191OR

#Other Provider Identifiers

No legacy or other 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) and holds license No. 33934 (TX).

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 at npiregistry.cms.hhs.gov.

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