Healthcare Provider Details

I. General information

NPI: 1427623982
Provider Name (Legal Business Name): ZEEHAN AZAD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 CARLISLE RD
YORK PA
17404-4930
US

IV. Provider business mailing address

1775 GRAND CONCOURSE FL 6
BRONX NY
10453-8202
US

V. Phone/Fax

Practice location:
  • Phone: 717-848-4599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS046071
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: