Healthcare Provider Details

I. General information

NPI: 1730013236
Provider Name (Legal Business Name): AMMARA ZULFIQAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 DUSTIN RD
OREGON OH
43616-4341
US

IV. Provider business mailing address

19138 PINE LEDGE DR
BROWNSTOWN MI
48193-7495
US

V. Phone/Fax

Practice location:
  • Phone: 419-698-4339
  • Fax:
Mailing address:
  • Phone: 734-280-7236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028526
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: