Healthcare Provider Details

I. General information

NPI: 1083541221
Provider Name (Legal Business Name): AMIR MAJEED DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80501 AVENUE 48 # 191
INDIO CA
92201-6511
US

IV. Provider business mailing address

79405 HIGHWAY 111 # 191
LA QUINTA CA
92253-8300
US

V. Phone/Fax

Practice location:
  • Phone: 760-299-0430
  • Fax:
Mailing address:
  • Phone: 760-299-0430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number47123
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: