Healthcare Provider Details

I. General information

NPI: 1538803820
Provider Name (Legal Business Name): AHAD ZARIN SAQIB DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2022
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2965 E CHESTNUT EXPY
SPRINGFIELD MO
65802-2595
US

IV. Provider business mailing address

2706 APPLE VALLEY CIR
OREFIELD PA
18069-2239
US

V. Phone/Fax

Practice location:
  • Phone: 417-831-3311
  • Fax:
Mailing address:
  • Phone: 610-554-9322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS044012
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2024028456
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: