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NPI Code Detail

MEDICARE: DR. SADAF AHMED DDS

MEDICARE:  DR. SADAF  AHMED  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401411047VA

General Provider Information

NPI Number : 1578694311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SADAF AHMED DDS
Provider Business Mailing Address
First Line : 2733 DAWSON MILL CT
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4482
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3824 MECHANICSVILLE PIKE
Second Line : UNIT 12
City : RICHMOND
State : VA
Zip : 23223-1114
Country : US
Telephone Number : 804-321-5665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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